[Current complications of heart catheterization. Analysis of 100 cases].
OBJECTIVE
To analyse the impact of the new cardiac catheterization techniques on the complication profile of these procedures.


METHODS
One thousand consecutive patients who underwent cardiac catheterization from August through December, 1989 (739 diagnostic and 201 therapeutic procedures), who were followed up until hospital discharge. Complications were classified accordingly to their type and severity, and were related to the procedure employed and to the left ventricular ejection fraction.


RESULTS
There were no complications in 77.7% of the population studied. In the remaining 236 patients the incidence of mild, moderate and severe complications were, respectively: 11.2%, 7.3% and 3.8%. Severe vascular complications occurred in 0.5%, cardiac perforation requiring emergency surgical repair in 0.1%, severe arrhythmias in 1.4%, acute myocardial infarction in 0.4%, acute pulmonary edema in 0.3% and fatal events in 0.5% patients.


CONCLUSIONS
Despite the increasing application of interventional techniques and the greater number of acutely ill patients referred to cardiac catheterization, these procedures have proved to be safe with a low complication rate.
Nunes
G L
GL
Instituto Dante Pazzanese de Cardiologia, São Paulo.
Nicolela Júnior
E L
EL
Sousa
G M
GM
Maldonado
G
G
Cano
M M
MM
Esteves
C A
CA
Braga
S L
SL
Yaktine
H M
HM
Feres
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000209:etiology; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011654:Pulmonary Edema / Q000209:etiology; D013318:Stroke Volume; D016277:Ventricular Function, Left
Complicações atuais do cateterismo cardíaco. Análise de 1000 pacientes.