Treatment of Brain Ischemia after Cardiac Angiography.

Wise, Gary; Leighton, Richard F.; Fontana, Mary E.; Burkholder, James; Robinson, John R.; Lewis, Richard P.

doi:10.7326/0003-4819-76-5-868_4

Ann Intern Med

1972

DOI: 10.7326/0003-4819-76-5-868_4

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Treatment of Brain Ischemia after Cardiac Angiography.

Gary Wise¹,

Richard F. Leighton²,

Mary E. Fontana³

et al.

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1973

1976

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Percutaneous catheter emboli: Sources and prevention

Page

1976

Cathet. Cardiovasc. Diagn.

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Percutaneous coronary arteriography has been associated with numerous reports of embolic complications. Efforts to minimize such complications have focused upon normal hemostatic functions and the possible preventative role of systemic heparin. In considering the source and prevention of catheter emboli it is useful to review the mechanisms by which particulate matter may be introduced into the aortic root and to recognize that foreign material unaffected by anticoagulation may constitute a significant source of emboli. A simple technical protocol described in this communication has been followed during 3,500 percutaneous transfemoral coronary arteriograms using the Judkins approach. During this experience no embolic complications have been observed.

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Percutaneous catheter emboli: Sources and prevention

Page

1976

Cathet. Cardiovasc. Diagn.

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Systemic Heparinization for Femoral Percutaneous Coronary Arteriography

Walker¹,

Mundall²,

Broderick³

et al. 1973

N Engl J Med

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

Bourassa¹,

Noble²

1976

Circulation

212

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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 postcatheterization. The annual mortality rate averaged 0.23% and remained relatively stable. Our incidence of embolic complications was very low. In patients with normal coronary arteries, no fatal or serious nonfatal complications occurred. Left main coronary artery disease was present in all cases of mortality and greater than or equal to 60% stenosis was shown in nine of 12 instances. Thus major risk was proportional to the severity of disease in the left coronary system. The use of more aggressive supportive measures in these high-risk cases appears essential to reduce the total complication rate from coronary arteriography significantly.

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Treatment of Brain Ischemia after Cardiac Angiography.

Cited by 5 publications

References 0 publications

Percutaneous catheter emboli: Sources and prevention

Percutaneous catheter emboli: Sources and prevention

Systemic Heparinization for Femoral Percutaneous Coronary Arteriography

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

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