Safety and hemodynamic effects of pulmonary angiography in patients with pulmonary hypertension: 10-year single-center experience

AJR. American Journal of Roentgenology
Lawrence V HofmannJohn Eng

Abstract

We sought to examine the incidence of complications and change in pulmonary artery pressure in patients with pulmonary hypertension who were undergoing pulmonary angiography. A retrospective review was performed for all patients who underwent pulmonary angiography over a 10-year period at a single institution. Patients with moderate pulmonary hypertension (pulmonary artery pressure, 30-59 mm Hg) and severe pulmonary hypertension (pulmonary artery pressure, >/= 60 mm Hg) served as the study population. Demographic data, clinical indication, pre- and postcontrast pulmonary artery pressure measurements, type of pulmonary hypertension, contrast agent volume, complications, and American Society of Anesthesiologists (ASA) classification were recorded for all patients and compared. Two hundred two of 612 patients who underwent pulmonary angiography had pulmonary hypertension. Moderate pulmonary hypertension was present in 155 patients (77%) and severe pulmonary hypertension, in 47 patients (23%). Three (2.0%) of four complications were fatal. The complication rate was higher in patients with severe pulmonary hypertension compared with patients with moderate pulmonary hypertension but not statistically significant (6.3% vs 0.6%, p = 0....Continue Reading

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Citations

Aug 1, 2014·Annals of Thoracic Medicine·Majdy M IdreesRober D Levy
Sep 23, 2014·Journal of Vascular and Interventional Radiology : JVIR·Sean R DariushniaUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Dec 19, 2006·Journal of the American College of Cardiology·Marius M HoeperLewis J Rubin
Jun 28, 2016·Trends in Cardiovascular Medicine·Ivan M RobbinsAnna R Hemnes
Aug 30, 2016·Annals of the American Thoracic Society·Deepa GopalanWilliam R Auger
Sep 8, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Hiroyuki Matsuura
May 21, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Valery S EffoeRajesh Sachdeva
Jun 19, 2018·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Song JinPeng Xu

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