Coronary arteriography: prevention of thromboembolic complications using a pressure drip flushing technique

A. Rashid, F. J. Hildner, A. Fester, R. P. Javier, O. S. Narula, P. Samet

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

All selective coronary arteriographic examinations (1,833) performed in the authors' laboratory during a five year period (1/1/70 to 12/31/74) were analyzed for mortality and total morbidity according to method used. During the first two years, the control period, the classic brachial artery cutdown (Sones) and percutaneous femoral artery puncture (Judkins) techniques were utilized. Mortality rate for the total 589 patients was 1.01%. This included a mortality of 0.26% (1/386) for the brachial arteriotomy method and 2.5% (5/203) for the percutaneous femoral puncture approach. After introduction of the pressure drip flushing technique, the subsequent three year mortality rate for a total of 1,244 patients was 0.16%. This included an incidence of 0.17% (1/585) for brachial arteriotomy and 0.15% (1/659) for modified percutaneous puncture techniques. The morbidity incidence during the initial two year period was 3.0% (18/589). This included an incidence of 2.0% for brachial arteriotomy and 5.0% for percutaneous puncture techniques. After institution of the new pressure drip flushing technique the total incidence fell to 1.2% equally divided between arteriotomy and percutaneous techniques. Modification of the classic percutaneous femoral artery puncture technique has resulted in major reduction of mortality and morbidity complications which are chiefly thromboembolic in nature. It has not significantly influenced local thrombotic complications of arteriotomy.

Original languageEnglish
Pages (from-to)283-291
Number of pages9
JournalCatheterization and Cardiovascular Diagnosis
Volume1
Issue number3
StatePublished - Dec 1 1975
Externally publishedYes

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Punctures
Angiography
Pressure
Mortality
Arm
Incidence
Femoral Artery
Morbidity
Brachial Artery
Thigh

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rashid, A., Hildner, F. J., Fester, A., Javier, R. P., Narula, O. S., & Samet, P. (1975). Coronary arteriography: prevention of thromboembolic complications using a pressure drip flushing technique. Catheterization and Cardiovascular Diagnosis, 1(3), 283-291.

Coronary arteriography : prevention of thromboembolic complications using a pressure drip flushing technique. / Rashid, A.; Hildner, F. J.; Fester, A.; Javier, R. P.; Narula, O. S.; Samet, P.

In: Catheterization and Cardiovascular Diagnosis, Vol. 1, No. 3, 01.12.1975, p. 283-291.

Research output: Contribution to journalArticle

Rashid, A, Hildner, FJ, Fester, A, Javier, RP, Narula, OS & Samet, P 1975, 'Coronary arteriography: prevention of thromboembolic complications using a pressure drip flushing technique', Catheterization and Cardiovascular Diagnosis, vol. 1, no. 3, pp. 283-291.
Rashid, A. ; Hildner, F. J. ; Fester, A. ; Javier, R. P. ; Narula, O. S. ; Samet, P. / Coronary arteriography : prevention of thromboembolic complications using a pressure drip flushing technique. In: Catheterization and Cardiovascular Diagnosis. 1975 ; Vol. 1, No. 3. pp. 283-291.
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