Outpatient coronary angiography with 4 French catheters
| Autor: | W, Burger, J, Gärtner, G D, Kneissl, W K, Rothe, A, Hartmann |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male Cardiac Catheterization Miniaturization Outpatient Clinics Hospital Time Factors Hospitals Community Middle Aged Coronary Angiography Femoral Artery Outcome and Process Assessment Health Care Clinical Protocols Practice Guidelines as Topic Feasibility Studies Humans Female Prospective Studies Safety Aged |
| Zdroj: | The Journal of invasive cardiology. 11(2) |
| ISSN: | 1042-3931 |
| Popis: | The early 4 French (Fr), pre-formed, Judkins coronary catheters had unsatisfactory maneuverability due to reduced torque stability. Technical innovations have led to improved 4 Fr catheters. This prospective study evaluates the safety and feasibility of the 4 Fr Quick Care Infinity catheter (Cordis, Miami, Florida). Within a series of 2,366 patients investigated for suspected coronary artery disease, 302 were selected for outpatient treatment according to the guidelines for outpatient catheterization. Fluoroscopy time was 2.8 +/- 2.5 minutes. It was not necessary to change to larger catheters in any patient. After sheath removal, hemostasis was achieved within 14 +/- 8 minutes. Strict bed rest lasted 181 +/- 65 minutes; patients were discharged 303 +/- 76 minutes after arterial puncture. Sixteen of the 302 patients (5.3%; 95% confidence interval (CI): 3.1-7.9%) changed to inpatient treatment for reasons unrelated to the arterial access. Eight patients (2.6%; CI: 1.1-5.1%) required one night of hospitalization for control of hematoma. The following morning, vessel murmur, pain, and large hematoma (more than 10 cm diameter) occurred in 1 (0.3%), 6 (2.0%), and 6 (2.0%) patients, respectively. This necessitated hospital admission in 2 patients (0.7%; CI: 0.0-2.3%) for up to 2 days. Major entry site complications requiring blood transfusion or surgery did not occur (CI: 0.0-0.3%). It was concluded that outpatient catheterization for coronary artery disease using the new 4 French catheters is feasible and can be rapidly and safely performed in a selected patient population. |
| Databáze: | OpenAIRE |
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