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Ethics in interventional cardiology: combining coronary intervention with diagnostic catheterization

James C Blankenship1

  • 1Department of Cardiology 21-60, Geisinger Medical Center, Danville, PA 17822, USA. jblankenship@geisinger.edu

The American Heart Hospital Journal
|December 18, 2004
PubMed

Insights

Performing coronary intervention during diagnostic coronary arteriography is becoming routine. While potentially cost-saving, this combined approach carries risks and is only suitable for carefully selected, well-informed patients.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Coronary intervention procedures are increasingly common.
  • Performing interventions concurrently with diagnostic coronary arteriography is becoming standard practice.

Purpose of the Study:

  • To evaluate the safety and appropriateness of combined coronary arteriography and intervention versus staged procedures.
  • To identify patient selection criteria for combined strategies.

Main Methods:

  • Comparative analysis of combined versus staged coronary intervention strategies.
  • Assessment of procedural risks and costs.
  • Review of patient selection factors.

Main Results:

  • Combined arteriography and intervention may offer slight cost savings.
  • This combined approach can be more dangerous for certain patients compared to staged intervention.
  • Patient selection and informed consent are critical for combined procedures.

Conclusions:

  • Combined coronary arteriography and intervention is appropriate for select, well-informed patients when performed safely.
  • A universal combined strategy is not recommended for all patients undergoing coronary procedures.

Keywords:
Health Care and Public Health

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