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Updated: Sep 21, 2026

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures
09:13

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures

Published on: April 21, 2013

[Bedside cardiac catheterization. Advantages and disadvantages]

D Vitola, N C Nonohay, L Guillermo-Cal

    Arquivos Brasileiros De Cardiologia
    |June 1, 1989
    PubMed

    Insights

    Bedside heart catheterization (BHC) is a valuable diagnostic tool for complicated myocardial infarction (MI). While minor and major complications occurred, the procedure was successful in most patients, aiding in diagnosis and management.

    Area of Science:

    • Cardiology
    • Diagnostic Procedures
    • Critical Care Medicine

    Context:

    • Bedside heart catheterization (BHC) was performed on 300 patients between 1973 and 1985.
    • The study population primarily consisted of patients who had suffered a myocardial infarction (MI), with many in advanced Killip functional classes (II-IV).
    • A subset of patients underwent BHC due to congestive heart failure.

    Purpose:

    • To evaluate the advantages and risks associated with bedside heart catheterization (BHC).
    • To assess the diagnostic utility of wedge pressure (WP) measurements in patients with MI and heart failure.
    • To identify factors associated with complications during BHC.

    Summary:

    • BHC was successful in 96% of cases, with wedge pressure (WP) measured in 78.7%.
    • A significant proportion of patients, even in higher functional classes, had WP < 18 mmHg, indicating the procedure's value in complex MI cases.
    • Minor complications occurred in 11% and major complications in 15%, including pulmonary infarction and phlebitis. Longer procedure maintenance time was linked to increased complications.

    Impact:

    • Highlights the utility of BHC in diagnosing and managing complicated myocardial infarction and heart failure.
    • Identifies pulmonary infarction and phlebitis as key complications associated with prolonged BHC procedures.
    • Provides insights into the hemodynamic profiles of MI patients, challenging traditional assumptions about wedge pressure thresholds.

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