Complications of coronary arteriography from the Collaborative Study of Coronary Artery Surgery (CASS).

摘要: Data were collected prospectively on 7553 consecutive patients undergoing coronary arteriography. The studies performed at 13 clinics of the Collaborative Study Coronary Artery Surgery (CASS) using brachial and femoral techniques. There eight deaths 0--24 hours seven 24--48 after arteriography (2/1000). 15 non-fatal myocardial infarctions (MIs) four MIs (2.5/1000). Of 657 cases with left main stenosis greater than or equal to 50%, five died three had MI. Left disease increased risk death by 6.8 times (p less 0.001). Other factors increasing unstable angina, congestive heart failure, multiple premature ventricular contractions, hypertension. 1187 studied from artery, six (0.51%) (0.42%). In 6328 nine (0.14%) 14 (0.22%). artery technique 3.6 compared approach 0.05). This result did not apply when analysis was restricted laboratories 80% more procedures. Risk altered heparin. Thus, a prospective, multicenter complications reveals low but significant difference between two