Document Detail

Randomized evaluation of four versus five French catheters for transfemoral coronary angiography.
MedLine Citation:
PMID:  9929752     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND HYPOTHESIS: In coronary angiography there is a trend toward using smaller catheters to avoid puncture site complications. An increased utilization of outpatient facilities may result. This study was undertaken to determine whether using 4Fr diagnostic catheters in comparison with 5Fr catheters would reduce the vascular complication rate, after patient ambulation following 4 h bedrest, without altered technical performance and or procedural duration. METHODS: The study population comprised 100 consecutive, unselected patients, who were randomly assigned for transfemoral coronary angiography with 4 or 5Fr diagnostic catheters. Procedural characteristics, quality of angiogram, and clinical assessment of puncture site at 4, 12, and 24 h were analyzed. RESULTS: No significant difference was demonstrated concerning procedural characteristics, ventriculography, coronary contrast quality, or local vascular damage. However, two patients crossed over in the 4Fr group and one in the 5Fr group. CONCLUSION: As a consequence, the feasibility, reliability, and utility of catheter size on vascular complication rates must be considered to be similar with either 4Fr or 5Fr diagnostic catheters.
D Metz; L Chapoutot; C Brasselet; D Jolly
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical cardiology     Volume:  22     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-04-01     Completed Date:  1999-04-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  29-32     Citation Subset:  IM    
Service de Cardiologie, Hôpital Universitaire Robert Debré, Reims, France.
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MeSH Terms
Aged, 80 and over
Catheterization, Peripheral / instrumentation*
Coronary Angiography / methods*
Coronary Disease / radiography*
Feasibility Studies
Femoral Artery
Follow-Up Studies
Heart Catheterization / methods*
Middle Aged
Prospective Studies
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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