Outpatient Coronary Angiography - Safety and Feasibility

Abstract

The feasibility and safety of outpatient coronary angiography were studied in 2,106 patients. Patients were discharged with a pressure dressing 2 h after the angiographic study. No complications occurred in 99.53% of all patients. Severe complications were seen in 10 patients (0.47%). 9 patients (0.43%) had to be admitted to hospital, either for immediate treatment (4 patients) or due to complications (5 patients). Our results revealed a very low complication rate for outpatient coronary angiography. The number and severity of complications following coronary angiography did not differ significantly between inpatients and outpatients. Therefore, outpatient coronary angiography can be considered as a safe and feasible diagnostic method which may help cut health care costs.

A prospective randomized trial of early ambulation following 8 French diagnostic cardiac catheterization

“…These findings are in agreement with the early ambulation studies reviewed [2][3][4][5][6][7][8][9][10][11][12][13][14]. Only four actual groin complications occurred in this study.…”

“…Following the procedure, immobilization of the affected extremity is required to maintain hemostasis of the arterial puncture site. The period of immobilization time may vary from 2 to 24 hr [2][3][4][5][6][7][8][9][10][11][12][13][14]. Ambulation times are primarily based on the sheath and catheter size.…”

Homocysteine and Lp-PLA2 levels: Diagnostic value in coronary heart disease

“…CHD is a prevalent cardiovascular disorder with a multifactorial etiology that is commonly linked to genetic predispositions, environmental factors, and lifestyle habits. [4,5] Despite significant advances in our understanding of CHD prevention and treatment, it continues to be recognized as one of the principal causes of mortality in humans. CHD complexity arises from the interaction of various risk factors, including the degree of inflammation, thinning of the fibrous cap, metalloproteinase expression levels, plaque characteristics, and stability.…”

“…This limitation has spurred an urgent need to develop more accessible, noninvasive, and cost-effective diagnostic strategies. [4,5] The lacuna in the early detection of CHD often translates to delayed intervention, resulting in compromised therapeutic outcomes and unfavorable prognoses. Therefore, the quest for innovative diagnostic approaches has become a pivotal aspect of contemporary cardiovascular research.…”

Ergebnisse koronarangiographischer Untersuchungen bei Patienten mit "atypischem" Thoraxschmerz

“…Dies spiegelt das Dilemma einer limitierten Sensitivität nichtinvasiver Methoden trotz oftmaliger Kombination mehrerer Tests wider [20][21][22][23]. Die Forderung nach einer mög-lichst raschen und effektiven Diagnostik ist jeweils im Spannungsfeld zwischen diagnostischem Risiko [24,25] und Effektivität sowie Rationalität zu sehen.…”