Percutaneous transfemoral coronary arteriography; prevention of morbid complication.
During a six-year experience involving 3,089 selective coronary arteriograms (99 percent by the percutaneous transfemoral method), modifications of technique have reduced the incidence of morbid complications. Modifications have involved guidewire technique, systemic heparinization, attention to spontaneous catheter back-bleeding after guidewire removal, and caution in approaching sever main left coronary artery lesions.
D000328:Adult; D000368:Aged; D000792:Angiography / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D001795:Blood Pressure Determination; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D002561:Cerebrovascular Disorders / Q000517:prevention & control; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D003973:Diatrizoate; D004562:Electrocardiography; D004617:Embolism / Q000517:prevention & control; D005260:Female; D005263:Femoral Artery; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009203:Myocardial Infarction / Q000517:prevention & control; D011140:Polyurethanes; D013927:Thrombosis / Q000517:prevention & control
D011140:Polyurethanes; D003973:Diatrizoate; D006493:Heparin