Final answer:
Complications from wire handling during PTCA can include infection, bleeding, and vessel perforation, with potential for heart attacks or strokes resulting from clots formed by plaque rupture.
Step-by-step explanation:
The complications that may be caused by the handling of the wire in a routine Percutaneous Transluminal Coronary Angioplasty (PTCA) include infection, bleeding, and vessel perforation. During a PTCA, handling of the wire may lead to Bleeding due to injury when a blood vessel is inadvertently severed. Furthermore, the handling of the wire may also cause vessel perforation if the wire punctures the vessel wall. This could result in Blood and blood components leaking out of the breaks.
Additionally, when infections are concerned, any invasive procedure poses a risk of introducing pathogens into the bloodstream or at the insertion site. In some cases, plaque can rupture during manipulation, leading to the formation of clots that can cause heart attacks or strokes if they occur in coronary or cerebral arteries. These clots may obstruct the artery or, if pieces break off, can travel as an embolus and cause blockages in more distant parts of the vasculature.