title: [Heart surgery complications during diagnostic coronary angiography. The experience of a nondepartmental hemodynamics laboratory].
abstract: The records of the Catheter Laboratory at S. Carlo Hospital in Milan (a District General Hospital without Cardiac Surgery Unit) between 1989-1991 were reviewed to determine how often emergency coronary by-pass surgery was performed because of a complication arising during elective coronary arteriography. A total of 1,009 cardiac procedures were performed, 876 (87%) were confined to left ventricular angiography and coronary arteriography in patients with suspected coronary artery disease. Our Catheter Laboratory complications rate was low: death 0.1%, stroke 0, non fatal myocardial infarction 0.8%, arrhythmia 0.5%, femoral haematoma 0.7%, emergency cardiac surgery 0. Case selection, seniority of operators, femoral approach (98% of the cases) with coronary catheters 6 French can explain these good results. In our experience coronary angiography at a District General Hospital is safe, feasible and diagnostic. Besides our main problem is the non emergency access to a Cardiac Surgery Unit after coronary arteriography: our patients have to join a long waiting list at major Regional Centres with an increase in cardiac events.
authors.affiliation: Divisione di Cardiologia, Ospedale S. Carlo Borromeo, Milano.
authors.forename: M
authors.initials: M
authors.lastname: Saviotti
authors.forename: F
authors.initials: F
authors.lastname: Regalia
authors.forename: C
authors.initials: C
authors.lastname: Piane
mesh_terms: D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data; D017023:Coronary Angiography / Q000009:adverse effects* / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D004630:Emergencies; D006439:Hemodynamics; D006767:Hospitals, District / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy / Q000453:epidemiology; D007755:Laboratories, Hospital / Q000706:statistics & numerical data
vernacular_title: Complicanze cardiochirurgiche in corso di coronarografia diagnostica. Esperienza di un laboratorio di emodinamica non dipartimentale.