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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
04:40

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Published on: August 28, 2018

Indications for coronary arteriography: risks vs. benefits

A Selzer, W L Anderson, H W March

    California Medicine
    |November 1, 1971
    PubMed

    Insights

    Coronary arteriography, a heart imaging procedure, should only be performed in centers with high caseloads and proper facilities. Low-volume labs significantly increase patient mortality and morbidity risks.

    Area of Science:

    • Cardiology
    • Interventional Cardiology
    • Medical Procedure Safety

    Background:

    • Coronary arteriography is increasingly performed outside major medical centers.
    • The diagnostic procedure carries significant risks.
    • Its justification relies on potential benefits from subsequent surgical interventions for coronary artery disease.

    Purpose of the Study:

    • To establish criteria for performing coronary arteriography based on risk-benefit analysis.
    • To evaluate the impact of institutional caseload on the safety of coronary arteriography.

    Main Methods:

    • Analysis of risk-benefit ratios for coronary arteriography.
    • Survey of mortality and morbidity data across different caseload institutions.

    Main Results:

    • Mortality risk increases at least twentyfold in low-caseload laboratories compared to high-caseload institutions.
    • Morbidity risk increases sixfold in low-caseload laboratories compared to high-caseload institutions.

    Conclusions:

    • Coronary arteriography is associated with substantially higher risks in low-volume settings.
    • Performing the procedure necessitates appropriate team facilities and a high caseload to ensure patient safety.

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