[Coronary angiography: indications, results and complications in 5.000 consecutive patients]

Rev Med Chil. 2007 Jul;135(7):829-38. doi: 10.4067/s0034-98872007000700002. Epub 2007 Sep 6.
[Article in Spanish]

Abstract

Background: There are guidelines about equipment, premises, personnel, indications and complications rates for coronary angiography, that every center performing this procedure should adhere.

Aim: To report the experience with 5.000 coronary angiographies and to assess the compliance of the center with the current guidelines.

Material and methods: Prospective registry of 5.000 patients aged 60+/-11 years (3.475 males) subjected to coronary angiography since 1992, assessing all aspects of the procedure with special emphasis on complications.

Results: The indications for 80% of procedures was suspected coronary atherosclerosis. The main risk factors were hypertension and smoking. Coronary atherosclerosis was demonstrated in 62%, mainly one vessel disease. These were two deaths due to the procedure (0.04%), three patients (0.06%) had an acute myocardial infarction or a stroke. These figures are lower than referential values.

Conclusions: In this center, coronary angiography is a safe procedure, with complications rates that are even lower than referential values.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Coronary Angiography* / adverse effects
  • Coronary Angiography* / mortality
  • Coronary Angiography* / standards
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / pathology
  • Coronary Artery Disease / therapy
  • Female
  • Guideline Adherence*
  • Humans
  • Hypertension / complications
  • Male
  • Middle Aged
  • Myocardial Infarction / etiology
  • Practice Guidelines as Topic*
  • Prospective Studies
  • Renal Insufficiency / etiology
  • Risk Factors
  • Smoking / adverse effects
  • Treatment Outcome
  • Vascular Diseases / etiology