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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Ethics in interventional cardiology: combining coronary intervention with diagnostic catheterization
1Department of Cardiology 21-60, Geisinger Medical Center, Danville, PA 17822, USA. jblankenship@geisinger.edu
The American Heart Hospital Journal
|December 18, 2004
Summary
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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