Complications of diagnostic cardiac catheterisation: results from 34,041 patients in the United Kingdom confidential enquiry into cardiac catheter complications. The Joint Audit Committee of the British Cardiac Society and Royal College of Physicians of London.

摘要: OBJECTIVES--To evaluate the frequency and nature of complications in patients undergoing diagnostic cardiac catheterisation to assess feasibility a voluntary cooperative audit system. METHODS--27 centres enrolled over two year period. Each centre voluntarily reported numbers catheterised every month. Complications were as they occurred. Feedback was provided form newsletters reports. RESULTS--39,795 procedures registered, which 33,776 catheterisations adults or adolescents, 1265 paediatric catheter studies under age 12 years, 4754 coronary angioplasties balloon dilatation valves. 83.3% left heart with arteriography. The overall complication rate for 0.80%, mortality 0.12%, emergency surgical intervention 0.08%. Complication rates varied between centres, but there no correlation case load. Different patterns associated different technical approaches. CONCLUSIONS--Complication are low neither negligible nor irreducible. Voluntary this kind has limitations, it is useful inexpensive.