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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Complication rate of diagnostic carotid angiography performed by interventional cardiologists

Hazim Al-Ameri1, Mottsin L Thomas, Anthony Yoon

  • 1The Heart Institute, Good Samaritan Hospital, Los Angeles, California, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|January 31, 2009
PubMed

Insights

Interventional cardiologists perform diagnostic carotid angiography with low complication rates, comparable to existing literature. This study confirms the safety and efficacy of the procedure when performed by these specialists.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Percutaneous treatment for carotid artery stenosis is increasing.
  • Complication rates for diagnostic carotid angiography by radiologists and vascular surgeons are documented.
  • Data on interventional cardiologists performing this procedure is limited, despite their frequent involvement.

Purpose of the Study:

  • To evaluate the complication rate of diagnostic carotid angiography performed by interventional cardiologists.
  • To compare these complication rates with previously published data.

Main Methods:

  • Retrospective analysis of 333 patients undergoing diagnostic carotid angiography (January 2000 - February 2007).
  • Review of medical records for risk factors, indications, technique, and in-hospital complications.
  • Complications categorized as neurological (transient/permanent) and non-neurological (major/minor).

Main Results:

  • Twelve complications (3.5%) occurred in 12 patients.
  • No cerebral vascular accidents; one transient ischemic attack (0.3%).
  • Major non-neurological complication rate was 0.6% (two patients required transfusions).

Conclusions:

  • Neurological and non-neurological complication rates are low.
  • These rates compare favorably with published literature.
  • Interventional cardiologists can safely perform diagnostic carotid angiography.
Abstract

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