Complication rates of selective percutaneous transfemoral coronary arteriography. A review of 1094 consecutive examinations.
A review is presented of 1094 selective coronary artery studies during a 3-year period in which 7001 coronary artery injections were performed using the percutaneous transfemoral artery approach as described by Judkins. A total of 24 serious complications occurred, including 11 ventricular fibrillations, 5 asystoles or severe bradycardias, 3 acute myocardial infarctions and 5 cerebral vascular accidents. There were 5 deaths, giving an overall mortality rate of 0.46%. Causes of individual complications are analyzed. The incidence of serious cardiac complications did not differ significantly from that reported in the literature with the Sones technique. The Judkins technique is a simple and reliable method for selective coronary arteriography. In our opinion, the incidence of complications can be kept at an acceptably low level by meticulous examination techniques.
D000208:Acute Disease; D000792:Angiography / Q000009:adverse effects*; D001919:Bradycardia / Q000209:etiology; D002561:Cerebrovascular Disorders / Q000209:etiology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D005263:Femoral Artery; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D007269:Injections, Intra-Arterial; D008794:Metrizoic Acid / Q000009:adverse effects; D009203:Myocardial Infarction / Q000209:etiology; D013997:Time Factors; D014693:Ventricular Fibrillation / Q000209:etiology
D008794:Metrizoic Acid