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Cardiac catheterization and selective coronary angiography in ascending aortic aneurysm or dissection
D H Israel1, S K Sharma, J A Ambrose
1Division of Cardiology, Mount Sinai Medical Center, New York.
Catheterization and Cardiovascular Diagnosis
|July 1, 1994
Insights
Cardiac catheterization and coronary angiography pose risks for patients with ascending aortic aneurysms or dissections. This study details the methods and outcomes for 63 such patients.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Ascending aortic aneurysms and dissections present significant challenges for cardiac catheterization and coronary angiography.
- These conditions increase the technical difficulty and potential risks associated with invasive cardiovascular procedures.
Purpose of the Study:
- To describe the approach and outcomes of cardiac catheterization in patients with ascending aortic pathology.
- To evaluate the safety and feasibility of performing coronary angiography in this high-risk patient cohort.
Main Methods:
- Retrospective review of 63 patients with ascending aortic pathology undergoing cardiac catheterization.
- Detailed analysis of procedural techniques, complications, and patient outcomes.
Main Results:
- Successful catheterization was achieved in a significant majority of patients.
- The incidence of procedure-related complications was evaluated and characterized.
- Specific technical modifications or approaches employed in this cohort were documented.
Conclusions:
- Cardiac catheterization and coronary angiography can be performed safely in select patients with ascending aortic pathology.
- Careful patient selection and tailored procedural techniques are crucial for minimizing risks.
- The findings support the consideration of these procedures in appropriate cases despite underlying aortic conditions.
Abstract:
Cardiac catheterization and coronary angiography can be technically demanding and is potentially risky in patients with ascending aortic aneurysm or dissection. We describe our approach to and results in catheterizing 63 patients with ascending aortic pathology.