Dealing with complications in interventional radiology

Abstract

It is widely accepted that most misadventures, which lead to harm have not occurred because of a single individual but rather due to a failure of process that results in healthcare workers making mistakes. This failure of process and the pervasiveness of adverse events is just as prevalent in Interventional Radiology (IR) as it is in other specialities. The true prevalence and prevailing aetiology of complications in IR are not exactly known as there is a paucity of investigative literature into this area; especially when compared with other more established disciplines such as Surgery. Some IR procedures have a higher risk profile than others. However, published data suggests that many adverse events in IR are preventable (55–84%) and frequently involve a device related complication such as improper usage or malfunction. This article aims to discuss factors that contribute to complications in IR along with tools and strategies for dealing with them to achieve optimal patient outcomes.

Advancements in Interventional Radiology for Managing Hepatic Encephalopathy: A Comprehensive Review

“…For instance, complications linked to arterial access in coronary interventions can arise in up to 9% of cases, encompassing issues such as hematoma, pseudoaneurysm, hemorrhage, and arteriovenous fistula formation [45]. Many complications are potentially preventable through optimizing and standardizing techniques, alongside a deeper understanding of how patient risk factors and procedural factors influence outcomes [45,46]. Efforts are underway to cultivate a robust safety culture within IR through quality improvement initiatives, adherence to best-practice guidelines, and the implementation of revised classification and reporting schemas for adverse events [45,47].…”

“…Efforts are underway to cultivate a robust safety culture within IR through quality improvement initiatives, adherence to best-practice guidelines, and the implementation of revised classification and reporting schemas for adverse events [45,47]. However, the true prevalence and underlying causes of complications in IR remain inadequately understood, primarily due to a relative scarcity of healthcare registries and investigative literature compared to other medical specialties [46,47]. Complications should not be viewed in isolation but should be considered within the broader context of clinical governance and the intricate healthcare system in which they arise [47].…”