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.
Optimal resources for coronary artery surgery. Report of the Inter-Society Commission for Heart Disease Resources
Unstable angina pectoris: morbidity and mortality in 57 consecutive patients evaluated angiographically
The frequency and significance of coronary arterial thrombi and other observations in fatal acute myocardial infarction: a study of 107 necropsy patients
Ultrasound-guided compression repair for treatment of femoral artery pseudoaneurysm: acute and follow-up results
Use of a new diagnostic catheter for transradial internal mammary artery angiography early after minimally invasive coronary bypass
Characterization of ultrasound-detected cerebral microemboli in patients undergoing cardiac catheterization using an in vitro middle cerebral artery model
Thrombogenic properties of arterial catheters: a scanning electron microscopic examination of the surface structure
Left heart catheterization and angiography via the percutaneous femoral approach using an arterial sheath
Role of superficial femoral artery puncture in the development of pseudoaneurysm and arteriovenous fistula complicating percutaneous transfemoral cardiac catheterization
Complete heart block complicating retrograde left-heart catheterization of patients with cardiac allografts
Early ambulation following diagnostic 7-French cardiac catheterization: a prospective randomized trial
Clinically guided closure of femoral arterial pseudoaneurysms complicating cardiac catheterization and coronary angioplasty
Rapid hemostasis of arterial puncture sites with collagen in patients undergoing diagnostic and interventional cardiac catheterization
Five French versus eight French catheters and the Judkins technique. Advantages and limitations for studying coronary artery disease
Nonsurgical closure of femoral pseudoaneurysms complicating cardiac catheterization and percutaneous transluminal coronary angioplasty
Is a baseline electrophysiologic study mandatory for the management of patients with spontaneous, sustained, ventricular tachyarrhythmias?
Efficacy and safety of percutaneous treatment of iatrogenic femoral artery pseudoaneurysm by biodegradable collagen injection
Risks and complications of clinical cardiac electrophysiologic studies: a prospective analysis of 1,000 consecutive patients
Preoperative prediction of significant coronary artery disease in patients with valvular heart disease
Acute coronary occlusion during coronary angiography in two cases. Treatment by transluminal disobliteration
Is there an indication for coronary angiography in patients under 60 years of age with no or minimal angina pectoris after a first myocardial infarction?
Early mobilisation after percutaneous cardiac catheterisation using collagen plug (VasoSeal) haemostasis
Arterial prehabilitation: can exercise induce changes in artery size and function that decrease complications of catheterization?
Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents
Risks of coronary arteriography and bypass surgery in patients with left main coronary artery stenosis
Ventricular arrhythmia onset during diagnostic coronary angiography with a 5F or 4F universal catheter
Contemporary analysis of predictors and etiology of ventricular fibrillation during diagnostic coronary angiography
A randomized trial of vascular hemostasis techniques to reduce femoral vascular complications after coronary intervention
Ventricular arrhythmias during coronary angiography in patients with angina pectoris or chest pain syndromes
Maintenance fluids in prehospital care: crystalloid versus dextrose solutions--is there a difference?
Treatment of symptomatic acute internal mammary artery graft dissection by percutaneous stent placement
Coronary artery dissection secondary to coronary arteriography: presentation of three cases and review of the literature
Incidence of new focal pulmonary emboli after routine cardiac catheterization comparing the brachial to the femoral approach
Immediate balloon inflation during ventricular fibrillation complicating coronary angioplasty--an alternative technique to angioplasty system withdrawal: case reports and review
Complications of cardiac catheterization and angiography in patients with valvular heart disease. VA Cooperative Study on Valvular Heart Disease
Chronic bundle branch block and use of temporary transvenous pacemakers during coronary arteriography
Emergency balloon angioplasty and digital subtraction angiography in the management of an acute iatrogenic occlusive dissection of a saphenous vein graft
Silent myocardial ischemia is not predictive of myocardial infarction in peripheral vascular surgery patients
Fatal cardiac arrest during cardiac catheterization for angina pectoris: analysis of 10 necropsy patients
Successful use of education and cost-based feedback strategies to reduce physician utilization of low-osmolality contrast agents in the cardiac catheterization laboratory
Transient left bundle branch block induced by left-sided cardiac catheterization in patients without pre-existing conduction abnormalities
Ultrasound-guided compression closure of postcatheterization pseudoaneurysms during concurrent anticoagulation: a review of seventy-seven patients
Efficacy of a single dose intravenous heparin in reducing sheath-thrombus formation during diagnostic angiography: A randomized controlled trial
Emergency coronary artery bypass graft surgery for threatened acute myocardial infarction related to coronary artery catheterization
Thrombotic and cardiovascular complications related to nonionic contrast media during cardiac catheterization: analysis of 8,517 patients
Increased risk of ventricular fibrillation associated with temporary pacemaker use during coronary arteriography
Pulmonary edema following high intravenous doses of diatrizoate in the rat. Effects of corticosteroid pretreatment
Pulmonary edema induced by contrast medium. A comparative investigation in the rat following high intravenous doses of one ionic (diatrizoate) and non-ionic (metrizamide) contrast medium
Pseudoaneurysm after cardiac catheterization: therapeutic interventions and their sequelae: experience in 86 patients
Embolization from angiographic catheter during angiography simulating vascular spasm. Report of a case with postmortem verification
The effects of intracoronary Renografin injection on coronary flow and distribution in dogs following coronary occlusion
A prospective, randomized evaluation of nonsurgical closure of femoral pseudoaneurysm by compression device with or without ultrasound guidance
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