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[Coronary arteriography. Review of 1000 consecutive personal cases]
Insights
Coronary arteriography in 1000 patients revealed the anterior descending artery as the most affected area. This study highlights the safety and effectiveness of coronary angiography for diagnosing coronary artery disease.
Area of Science:
- Cardiology
- Interventional Cardiology
- Diagnostic Imaging
Background:
- Coronary artery disease (CAD) diagnosis relies on accurate imaging techniques.
- Coronary arteriography has been a cornerstone in evaluating coronary anatomy.
Purpose of the Study:
- To review the outcomes and findings of 1000 coronary arteriography procedures.
- To assess the safety and diagnostic utility of coronary arteriography in a large patient cohort.
Main Methods:
- Retrospective review of 1000 coronary arteriography procedures performed between 1973 and 1978.
- Analysis of patient indications, procedural techniques, and outcomes (mortality and morbidity).
Main Results:
- The anterior descending artery was the most frequently affected site in patients with coronary artery disease.
- Overall mortality was low at 0.2%, with no deaths in the final three years of the study.
- Morbidity rates decreased over time, from 3.5% overall to 2.3% in later years.
Conclusions:
- Coronary arteriography is a safe and effective procedure for diagnosing coronary artery disease.
- Clinical evaluation correlated well with arteriographic findings in patients without other heart conditions.
Abstract:
One thousand coronary arteriography performed in the catheterization laboratory of the Department of Cardiology (University of Padua) from 1973 to 1978 were reviewed. Indication to perform a coronary arteriography was established in 668 patients with clinically suspected coronary artery disease and in 332 patients affected by different heart disease in whom the study of coronary arteries was judged to be usefull. The percutaneous technique was usually employed. The overall mortality rate was 0.2%; there were no death in the last three years. The overall morbility was 3.5% (2.3 from 1976 to 1978). The anterior descending artery appeared to be the most frequently and precociously affected area. There was a good correlation between severity of the atherosclerotic lesions and age or sex of the patients. We could recognize coronary disease, when present, on the basis of clinical evaluation in patients without different heart disease.