Document Detail

How to maximize the safety of coronary and pulmonary angiography in patients receiving thrombolytic therapy.
MedLine Citation:
PMID:  2323267     Owner:  NLM     Status:  MEDLINE    
Patients who receive thrombolytic therapy in close temporal relationship to undergoing coronary or pulmonary angiography are at high risk of developing hemorrhagic complications, particularly at the vascular access site. A single-wall percutaneous puncture technique, use of a sheath for vascular access, use of a pigtail catheter for pulmonary angiography, avoidance of a temporary pacing catheter, and shortening the duration of thrombolytic therapy will decrease these complications. However, to maximize the safety of thrombolytic therapy, invasive vascular procedures should be avoided whenever possible.
M F Meyerovitz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  97     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-18     Completed Date:  1990-05-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  132S-135S     Citation Subset:  AIM; IM    
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston.
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MeSH Terms
Angiography / adverse effects,  methods*
Catheterization / adverse effects,  methods
Coronary Angiography*
Hemorrhage / chemically induced,  etiology
Pulmonary Artery / radiography*
Thrombolytic Therapy* / adverse effects

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