Risks of Outpatient Angiography and Interventional Procedures: A Prospective Study

Abstract

We observed a low incidence of complications requiring further treatment or resulting in a permanent deficit. The rates are comparable to published data from similar studies and practice standards guidelines. A statistically significant improvement was seen in the total complication rate between the periods March 1997-June 1999 and July 1999-March 2002 (p = 0.01).

Clubbing: An update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance

“…If the history and physical do not reveal a dialysis fistula or obvious arterial aneurysm, the dermatologist may outline the risks and benefits of arterial imaging and refer the patient to vascular operation for evaluation of the thoracic aorta and brachial circulation by angiography. The patient and clinician may choose to start with a less invasive but also less sensitive test such as the erythrocyte sedimentation rate; however, a recent prospective study 73 of 2683 outpatient angiograms revealed no deaths attributable to angiography and a complication rate of 22%, including hematoma, local pain, rash, nausea, abdominal pain, and leg pain (Fig 3).…”

Komplikation nach ambulanter Karotisangiographie

“…Gradinscak et al [1] fanden bei 359 diagnostischen DSA der hirnversorgenden Gefäße mit 4-F-Kathetern Hämatome in 8,4%. Transitorisch ischämische Attacken traten in 1,7% und bleibende neurologische Ausfälle in 0,3% auf.…”

“…Das seltenere Auftreten schwerwiegender Komplikationen hat dazu geführt, dass transfemorale Katheterangiographien ambulant durchgeführt werden. Das betrifft auch die hirnversorgenden Gefäße [1,2]. Die MRT in Kombination mit der MRA ist seit mehreren Jahren die Methode der Wahl, um einen Glomus-caroticum-Tumor nicht-invasiv nachzuweisen [3].…”

Peripheral angioplasty as a day case: science fiction or everyday reality?

“…This was also the year that the first large prospective study was published from an Australian group. Gradinscak et al [8], reported the results of 2248 patients that underwent day case diagnostic body or cerebral angiograms and angioplasty or stenting. In the angioplasty or stenting group 441 patients were included and complications occurred in 146 of them (33%).…”