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

Circulation
M G Bourassa, J Noble

Abstract

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.

References

Feb 1, 1976·The American Journal of Cardiology·S WolfsonL S Cohen
Jun 1, 1976·Circulation·R H PeterJ R Margolis
Nov 1, 1973·American Heart Journal·T TakaroE C Wright
Dec 1, 1972·The American Journal of Cardiology·P LavineJ W Linhart
Dec 1, 1974·The American Journal of Cardiology·R M WeintraubS Paulin
Apr 19, 1973·The New England Journal of Medicine·W J WalkerJ M Ravi
Apr 1, 1973·British Heart Journal·M C PetchK E Jefferson
Oct 1, 1973·American Heart Journal·A De la TorreG A Anderson
Dec 1, 1973·The American Journal of Cardiology·R J McCarty, S P Glasser
Jul 1, 1974·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·J LespéranceM G Bourassa
Dec 4, 1969·The New England Journal of Medicine·H L Abrams, D F Adams
Jan 20, 1972·The New England Journal of Medicine·G H NachnaniW N Jensen
Jul 1, 1971·Investigative Radiology·K Amplatz
Oct 1, 1969·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·M G BourassaL Campeau

Citations

Aug 1, 1996·Catheterization and Cardiovascular Diagnosis·T ChatterjeeB Meier
Jul 6, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S CozziA L Bartorelli
Feb 9, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G L SharmaJean François Piechaud
Jul 18, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Y YangK R Lees
Jan 1, 1977·Catheterization and Cardiovascular Diagnosis·C E HansingW Robinson
Jan 1, 1977·Catheterization and Cardiovascular Diagnosis·H K ThomsenJ F Hansen
Jan 1, 1978·Catheterization and Cardiovascular Diagnosis·A S IskandrianC E Bemis
Jan 1, 1979·Catheterization and Cardiovascular Diagnosis·W C Sheldon
Jan 1, 1979·Catheterization and Cardiovascular Diagnosis·W H BarryD Phillips
Jan 1, 1991·Catheterization and Cardiovascular Diagnosis·J Lupon-RosésJ Soler-Soler
May 1, 1992·Catheterization and Cardiovascular Diagnosis·V P MolesB Meier
Jul 1, 1992·Catheterization and Cardiovascular Diagnosis·J B SackL Yeatman
Jan 1, 1993·Catheterization and Cardiovascular Diagnosis·K W LauA Johan
Jan 1, 1994·Catheterization and Cardiovascular Diagnosis·R M BersinS H Zimmern
Jan 1, 1982·Cardiovascular and Interventional Radiology·D F Adams
Jan 1, 1982·Cardiovascular and Interventional Radiology·M R NicholsonD G Julian
Jan 1, 1982·Cardiovascular and Interventional Radiology·A Weikl, M Hubmann
Apr 27, 1979·Cardiovascular Radiology·D F Adams, H L Abrams
Oct 1, 1990·Cardiovascular and Interventional Radiology·R E MarsanS Ramamurthy
May 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D H Wong
Feb 18, 2010·Cardiovascular and Interventional Radiology·Dimitrios Tsetis
Feb 19, 2009·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Joseph W VillardMarc D Feldman
Mar 1, 1996·International Journal of Cardiology·J S Skinner, P C Adams
Jun 1, 1990·Journal of the American College of Cardiology·M J KernT M Bashore
Aug 1, 1979·JACEP·M Reynolds, J W Jones
Apr 17, 2002·Journal of the American College of Cardiology·Karim HamraouiThijs H W Plokker
Dec 1, 1984·Journal of the American College of Cardiology·R E Schatz, S Schiff
Jun 1, 1987·Journal of the American College of Cardiology·L N HorowitzS R Spielman
Aug 22, 1996·The New England Journal of Medicine·A Halkin, D Leibowitz
May 8, 1994·Journal of Interventional Cardiology·J D Talley
Apr 1, 1982·British Heart Journal·J M McComb, E A McMaster
Aug 1, 1986·British Heart Journal·H Singh, M S Ruttley
Feb 1, 1990·British Heart Journal·J T StewartD J Parker
May 1, 1995·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G Dorros, G Joseph
Sep 27, 2008·Revista española de cardiología·Jun ChenJi-Lin Chen
Apr 24, 2007·International Journal of Cardiology·Yoshiyuki KawanoJunichi Kadota
May 1, 1985·The American Journal of Cardiology·J KronJ H McAnulty
Dec 1, 1979·The American Journal of Cardiology·F Van de WerfH Kesteloot
Jan 8, 1999·American Heart Journal·A FischerG F Hamann
Nov 15, 1989·The American Journal of Cardiology·P Van TasselP D Murray
Aug 15, 1993·The American Journal of Cardiology·H de SwartH J Wellens
Oct 1, 1987·The American Journal of Cardiology·H DeMotsR Palac
Jan 1, 1989·The American Journal of Cardiology·C StefanadisP Toutouzas
Mar 1, 1979·The American Journal of Cardiology·A P SelwynG Forse
Mar 1, 1979·The American Journal of Cardiology·R K PrimmW J Rogers
Jul 1, 1991·European Journal of Radiology·F RasmussenJ Georgsen
Jul 1, 1989·International Journal of Cardiology·N H Murray, M T Rothman
Sep 1, 1980·American Heart Journal·M MorissetteJ Lemire
Apr 30, 2005·International Journal of Cardiology·Dimitris P PapadopoulosVassilios Votteas
Oct 1, 1989·Catheterization and Cardiovascular Diagnosis·V MukerjiM A Alpert
Jan 1, 1987·Catheterization and Cardiovascular Diagnosis·S P Wang, B N Chiang
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·L FinciW Rutishauser
Jan 1, 1981·Catheterization and Cardiovascular Diagnosis·P R Mahrer, N Eshoo
Jan 1, 1983·Catheterization and Cardiovascular Diagnosis·J A SchmiererD N Salem
Jan 1, 1984·Catheterization and Cardiovascular Diagnosis·A FeitN El-Sherif
Jan 1, 1985·Catheterization and Cardiovascular Diagnosis·S FarooqiM O'Keefe
Jan 1, 1985·Catheterization and Cardiovascular Diagnosis·R A Van TasselD J MacCarter
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·H Vik-MoG A Rosland
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·J D SlackC M Orr
Jan 1, 1989·Catheterization and Cardiovascular Diagnosis·L Campeau
Nov 1, 1987·Catheterization and Cardiovascular Diagnosis·M Haraphongse, R E Rossall
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·I C Gilchrist, A Cameron
Jan 1, 1982·Catheterization and Cardiovascular Diagnosis·L GehlB S Segal
Jan 1, 1982·Catheterization and Cardiovascular Diagnosis·H H Kruyswijk, E J Müller
Jan 1, 1982·Catheterization and Cardiovascular Diagnosis·A L SmucklerR Welbourne
Jan 1, 1982·Catheterization and Cardiovascular Diagnosis·J W KennedyM Cohen
Jul 1, 1994·Annals of Vascular Surgery·D J MooteJ B Foley
Oct 1, 1983·The American Journal of Cardiology·M L Fisher
May 1, 1987·The American Journal of Cardiology·P R GordonB A Carabello
Feb 1, 1989·The American Journal of Cardiology·W McBrideR A Lange
Nov 1, 1987·The American Journal of Cardiology·I C Gilchrist, A Cameron
Oct 1, 1985·The American Journal of Cardiology·W P KlinkeS J Lee
Dec 1, 1987·American Journal of Surgery·S R RobertsJ Pinkerton
Jul 1, 1981·The American Journal of Cardiology·H S Cabin, W C Roberts
Aug 1, 1977·The American Journal of Cardiology·A S IskandrianE D Mundth
Aug 1, 1978·The American Journal of Cardiology·B H GreenbergW W Parmley
Sep 1, 1985·Chest·S FighaliR Leachman
Feb 1, 1980·American Heart Journal·S A Schroeder
Jun 1, 1996·American Heart Journal·A K PandeT K Leung
Jan 1, 1979·Chest·R A ChahineR R Miller
Nov 1, 1979·Chest·J CrittinH F Mizgala
Apr 6, 1989·The New England Journal of Medicine
Jan 1, 1988·Angiology·K VenkataramanN P Matthews
Jan 1, 1983·Acta Radiologica: Diagnosis·K Måre, M Violante
Jan 1, 1983·Kokyu to junkan. Respiration & circulation·M YasunoT Matsumura
Jan 1, 1997·Angiology·R ZahnJ Senges
Sep 1, 1986·Angiology·J GawK Venkataraman
May 1, 1987·Journal of Biomedical Materials Research·G H EngbersJ Feijen
Jun 1, 1988·Stroke; a Journal of Cerebral Circulation·A Oliva, B Scherokman
Sep 1, 1983·Pacing and Clinical Electrophysiology : PACE·M H LehmannH G Kemp
Aug 11, 2020·World Journal of Cardiology·Fatima A ShaikXuming Dai
Jan 1, 1981·Acta Radiologica: Diagnosis·U EriksonS Sawada
Sep 28, 2018·Hämostaseologie·Sophie PetersJoerg Herold
May 2, 1998·Herz·M P Heintzen, B E Strauer
Jul 13, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·T ChatterjeeB Meier
May 10, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Miwako ShiharaJapanese Coronary Intervention Study (JCIS) Group
Sep 1, 2017·Journal of Atherosclerosis and Thrombosis·Akihiro TokushigeMitsuru Ohishi

Related Concepts

Arteriography
Cardiac Arrhythmia
Coronary Heart Disease
Structure of Femoral Artery
Leg
Thromboembolism
Coronary Angiography

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