Decreasing Vascular Complications After Percutaneous Coronary Interventions

Patients undergoing percutaneous coronary interventions (PCI) at a single institution participating in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2).

Quality improvement initiative focusing on training and certification for vascular closure device (VCD) deployment (limiting to a single vendor of absorbable collagen plug) and implementing a weight-based anticoagulation protocol.

Historical institutional practice (lack of consistency, non-evidence-based anticoagulation, multiple VCD vendors, and no uniform education or certification plan).

Vascular complication rates (including hematoma at the access site, pseudoaneurysm, arteriovenous fistula, arterial laceration requiring surgical repair, and femoral neuropathy).safety