[Complications in selective coronary angiography: analysis of 9196 cases].
OBJECTIVE
To study the incidence rates, risk factors, prevention and treatments of complications of selective coronary arteriography.


METHODS
A retrospective survey was conducted on the data of the incidence and annual distribution characteristics of complications among 9 196 cases that underwent selective coronary arteriography performed October 1987 to December 2000, and analyze the risk factors and prevention and treatment of these complications.


RESULTS
The total complication rate was 1.33%. The procedure-related mortality rates were 0.02%. The incidence rate of non-fatal Q wave myocardial infarction, coronary artery spasm, severe arrhythmia, severe contrast allergic reaction, peripheral vascular complication, and heart failure in coronary arteriography was 0.01%, 0.13%, 0.29%, 0.04%, 0.35%, and 0.08%, respectively. No emergent coronary artery bypass surgery was required in patients with coronary arteriography. The independent risk factors of the complications of coronary arteriography included unstable angina, coronary multivessel disease, left main coronary artery disease and heart failure.


CONCLUSIONS
The complication rate of coronary arteriography decrease with the accumulation of experience. The complication rate in this group is lower than in other reports probably due to strictly selecting of indication and active prevention and treatment of complications.
Yu
Meng-yue
MY
Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical University, Beijing 100037, China.
Gao
Run-lin
RL
Chen
Ji-lin
JL
Yang
Yue-jin
YJ
Qin
Xue-wen
XW
Qiao
Shu-bin
SB
Yao
Min
M
Yao
Kang-bao
KB
Liu
Hai-bo
HB
Wu
Yong-jian
YJ
Yuan
Jin-qing
JQ
Chen
Jue
J
Wu
Yuan
Y
You
Shi-jie
SJ
Xu
Bo
B
Chen
Zai-jia
ZJ
D000707:Anaphylaxis / Q000453:epidemiology / Q000209:etiology; D000787:Angina Pectoris / Q000000981:diagnostic imaging*; D001145:Arrhythmias, Cardiac / Q000453:epidemiology / Q000209:etiology*; D002681:China / Q000453:epidemiology; D017023:Coronary Angiography / Q000009:adverse effects* / Q000401:mortality; D005260:Female; D006801:Humans; D007022:Hypotension / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D012307:Risk Factors