The complications of coronary arteriography.

نویسندگان

  • D F Adams
  • D B Fraser
  • H L Abrams
چکیده

A nationwide survey was undertaken to determine the rate of complications due to coronary arteriography during 1970-71. The responses from 173 hospitals-including a total of 46,904 coronary arteriograms-were analyzed in relationship to the technique employed and to the number of examinations performed at each hospital during the two-year period. The overall mortality rate was 0.45% (brachial 0.13%, femoral 0.78%). The mortality rate in institutions performing fewer than 200 examinations per two years was eight times higher than in institutions performing more than 800 examinations per two years. Similarly, the incidence of myocardial infarction and cerebral embolism was significantly higher when a smaller number of examinations was performed. The incidence of major complications-including death, myocardial infarction, and cerebral embolism-was higher in examinations using the femoral approach than the brachial approach. The incidence of arterial thrombosis and contrast agent reactions was higher for the brachial approach. Factors which may help to explain these differences are considered and discussed.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

NEUROLOGIC COMPLICATIONS DURING PTCAJGalbreath

Gruentzig A: Transluminal dilatation of coronary artery stenosis. Lancet 1: 263, 1978 Kent KM, Bentiusglio LG, Block PC, et al: Percutaneous transluminal coronary angioplasty: report from the NHLBI registry. Am J Cardiol 49: 2011-2020, 1982 Doros G, Cowley MI, Simpson J, et al: Percutaneous transluminal coronary angioplasty report of complications from the National Heart Lung and Blood Institut...

متن کامل

Complication rate of coronary arteriography. A review of 5250 cases studied by a percutaneous femoral technique.

Distressing rates of embolic complications from coronary arteriography performed by the percutaneous femoral approach have been reported since 1972. From 1970-1974, 5250 patients underwent coronary arteriography in our laboratory by the same percutaneous femoral technique with preformed polyethylene catheters and no systemic heparinization. Data were recorded during and for 24 hours postcathete...

متن کامل

Major complications of coronary arteriography: the place of cardiac surgery.

The records of the catheter laboratory at St George's Hospital between 1983-1988 were reviewed to determine how often emergency coronary bypass surgery was performed because of a complication arising during elective coronary arteriography. A total of 11,216 cardiac procedures were performed; 5781 were confined to left ventricular angiography and coronary arteriography in patients with suspected...

متن کامل

Complications of coronary arteriography from the Collaborative Study of Coronary Artery Surgery (CASS).

Data were collected prospectively on 7553 consecutive patients undergoing coronary arteriography. The studies were performed at 13 clinics of the Collaborative Study of Coronary Artery Surgery (CASS) using brachial and femoral techniques. There were eight deaths 0--24 hours and seven deaths 24--48 hours after arteriography (2/1000). There were 15 non-fatal myocardial infarctions (MIs) 0--24 hou...

متن کامل

Complications of selective percutaneous transfemoral coronary arteriography and their prevention. A review of 445 consecutive examinations.

SUMMARY Complications encountered during a typical 12-month period of routine work witlh the Judkins percutaneous transfemoral method of selective coronary arteriography are reviewed. In 445 examinations, 20 complicationis (16 local and four cardiac) occurred. Local complications included nine delayed hemorrhages, five thromboses of femoral arteries, and two peripheral emboli. Cardiac complicat...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Circulation

دوره 48 3  شماره 

صفحات  -

تاریخ انتشار 1973