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Selective percutaneous coronary arteriography: an experience with 600 procedures
The Journal of Cardiovascular Surgery
|May 1, 1975
Summary
Selective percutaneous coronary angiography using the Judkins technique is safe and effective, even for critically ill patients. This diagnostic procedure provides valuable information, making it essential before cardiac surgery.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Diagnostic Imaging
Background:
- Coronary angiography is crucial for diagnosing heart disease.
- The Judkins technique is a standard method for selective coronary angiography.
- Assessing the safety and efficacy of percutaneous coronary angiography is vital.
Purpose of the Study:
- To evaluate the safety and tolerability of selective percutaneous coronary angiography.
- To determine the risk-benefit ratio of the Judkins technique in a large patient cohort.
- To establish the role of coronary angiography in pre-surgical cardiac evaluation.
Main Methods:
- Performed 600 selective percutaneous coronary angiographies.
- Utilized the Judkins technique for all procedures.
- Included critically ill patients in the study population.
Main Results:
- The procedure was well-tolerated across all patient groups.
- Low mortality rate of 1.7% observed.
- Infrequent complications reported at 2.7%.
Conclusions:
- Selective percutaneous coronary angiography is a safe and effective diagnostic tool.
- The Judkins technique offers a favorable risk-benefit profile.
- Coronary angiography is a prerequisite for meaningful cardiac surgical planning.