Percutaneous transfemoral coronary arteriography; prevention of morbid complication

During a six-year experience involving 3,089 selective coronary arteriograms (99 percent by the percutaneous transfemoral method), modifications of technique have reduced the incidence of morbid complications. Modifications have involved guidewire technique, systemic heparinization, attention to spontaneous catheter back-bleeding after guidewire removal, and caution in approaching sever main left coronary artery lesions.