Complications of Selective Percutaneous Transfemoral Coronary Arteriography and their PreventionA Review of 445 Consecutive Examinations
作者:
Gerald Green,
C. Mckinnon,
Josef Rösch,
Melvin Judkins,
期刊:
Circulation
(OVID Available online 1972)
卷期:
Volume 45,
issue 3
页码: 552-557
ISSN:0009-7322
年代: 1972
出版商: OVID
关键词: Myocardial infarction;Femoral artery thrombosis;Hemorrhage;Ventricular fibrillation
数据来源: OVID
摘要:
Complications encountered during a typical 12-month period of routine work with the Judkins percutaneous transfemoral method of selective coronary arteriography are reviewed. In 445 examinations, 20 complications (16 local and four cardiac) occurred. Local complications included nine delayed hemorrhages, five thromboses of femoral arteries, and two peripheral emboli. Cardiac complications included one ventricular fibrillation, one significant bradyarrhythmia, and two myocardial infarctions. Causes of individual complications are analyzed and means for their prevention discussed. Guidelines of the procedure are proposed to minimize the complications of selective coronary arteriography. Emphasis is placed on patient evaluation, preparation for the procedure, and meticulous examination technique.
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