Complications during and following cardiac catheterization

Revision as of 00:05, 23 August 2013 by Rim Halaby (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

WikiDoc Resources for Complications during and following cardiac catheterization

Articles

Most recent articles on Complications during and following cardiac catheterization

Most cited articles on Complications during and following cardiac catheterization

Review articles on Complications during and following cardiac catheterization

Articles on Complications during and following cardiac catheterization in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Complications during and following cardiac catheterization

Images of Complications during and following cardiac catheterization

Photos of Complications during and following cardiac catheterization

Podcasts & MP3s on Complications during and following cardiac catheterization

Videos on Complications during and following cardiac catheterization

Evidence Based Medicine

Cochrane Collaboration on Complications during and following cardiac catheterization

Bandolier on Complications during and following cardiac catheterization

TRIP on Complications during and following cardiac catheterization

Clinical Trials

Ongoing Trials on Complications during and following cardiac catheterization at Clinical Trials.gov

Trial results on Complications during and following cardiac catheterization

Clinical Trials on Complications during and following cardiac catheterization at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Complications during and following cardiac catheterization

NICE Guidance on Complications during and following cardiac catheterization

NHS PRODIGY Guidance

FDA on Complications during and following cardiac catheterization

CDC on Complications during and following cardiac catheterization

Books

Books on Complications during and following cardiac catheterization

News

Complications during and following cardiac catheterization in the news

Be alerted to news on Complications during and following cardiac catheterization

News trends on Complications during and following cardiac catheterization

Commentary

Blogs on Complications during and following cardiac catheterization

Definitions

Definitions of Complications during and following cardiac catheterization

Patient Resources / Community

Patient resources on Complications during and following cardiac catheterization

Discussion groups on Complications during and following cardiac catheterization

Patient Handouts on Complications during and following cardiac catheterization

Directions to Hospitals Treating Complications during and following cardiac catheterization

Risk calculators and risk factors for Complications during and following cardiac catheterization

Healthcare Provider Resources

Symptoms of Complications during and following cardiac catheterization

Causes & Risk Factors for Complications during and following cardiac catheterization

Diagnostic studies for Complications during and following cardiac catheterization

Treatment of Complications during and following cardiac catheterization

Continuing Medical Education (CME)

CME Programs on Complications during and following cardiac catheterization

International

Complications during and following cardiac catheterization en Espanol

Complications during and following cardiac catheterization en Francais

Business

Complications during and following cardiac catheterization in the Marketplace

Patents on Complications during and following cardiac catheterization

Experimental / Informatics

List of terms related to Complications during and following cardiac catheterization

Editors-In-Chief: Alexandra Almonacid M.D.[1] and Jeffrey J. Popma M.D.[2]


  • Patients at Increased Risk for Complications after Coronary Arteriography
    • Increased Medical Risk
      • Age >70 years
      • Complex congenital heart disease
      • Morbid obesity
      • General debility or cachexia
      • Uncontrolled glucose intolerance
      • Arterial oxygen desaturation
      • Severe chronic obstructive lung disease
      • Renal insufficiency with creatinine greater than 1.5mg/dl
    • Increased Cardiac Risk
      • Three-vessel coronary artery disease
      • Left main coronary artery disease
      • Functional class IV
      • Significant mitral or aortic valve disease or mechanical prosthesis
      • Ejection fraction less than 35%
      • High-risk exercise treadmill testing (hypotension or severe ischemia)
      • Pulmonary hypertension
      • Pulmonary artery wedge pressure greater than 25mmHg
    • Increased vascular Risk
      • Anticoagulation or bleeding diathesis
      • Uncontrolled systemic hypertension
      • Severe peripheral vascular disease
      • Recent stroke
      • Severe aortic insufficiency
    • Risk of Death
      • Death rates: 0.08 – 0.14%
      • Age : < 1 years and > 60 years
      • Class IV CHF 10 x higher than I or II
      • Left main 10 x higher than single vessel patients
      • Screening shots, minimize the views
      • LV dysfunction <30% 10x risk compared to >50%
      • Valvular heart disease
      • Severe non-cardiac disease
  • Major Complications
Predictors of Major Complications. Adapted from ACC/AHA guidelines for coronary angiography Scanlon et al:. JACC 33:1756, 1999
    • Major Complications
      • Mortality
      • Myocardial infarction
      • Cerebrovascular accident
      • Arrhythmias
      • Vascular complications
      • Contrast reaction
      • Hemodynamic complications
      • Perforation of heart chamber
  • Minor Complications
    • Uncommon (< 2 %).
    • Air embolus (0.1%)
    • Ventricular arrhythmias associated can be treated with lidocaine and direct-current cardioversion.
    • Cholesterol embolization
    • Nerve pain
    • Lactic acidosis may develop in diabetic patients taking metformin
  • Tips for Cardiac Catheterization
    • Be careful with the vascular puncture method
    • Always advance catheters over a guidewire around the aortic arch – keep the guidewire in place in the aorta during catheter exchanges
    • Flush catheters fully with saline to avoid bubbles within the manifold or the contrast line
    • Watch the arterial pressure at all time – never inject if the catheter has a damped pressure
    • Make certain the catheters are co-axial
    • Make certain to demonstrate evaluate each segment of each coronary artery


Template:WikiDoc Sources