Document Detail

Ventricular arrhythmia onset during diagnostic coronary angiography with a 5F or 4F universal catheter.
MedLine Citation:
PMID:  18817686     Owner:  NLM     Status:  MEDLINE    
Of 18,365 patients who underwent coronary angiography with a 4F or 5F universal catheter between April 2004 and May 2007, 24 (0.131%) experienced sustained ventricular tachycardia or ventricular fibrillation during the procedure. There was no significant difference in any clinical or angiographic characteristic between patients who had a ventricular arrhythmia and those who did not. Of the 24 episodes of ventricular arrhythmia, 14 were related to catheter manipulation, 8 to ischemia, and 2 to the contrast medium, while the cause could not be clearly established in 4. The incidence of ventricular arrhythmia with a universal catheter was 0.131%, and with a preformed catheter, 0.054% (P=.72). The study shows that serious ventricular arrhythmia occurs only rarely as a complication when coronary angiography is carried out using modern techniques and that imperfect manipulation of the catheter explains most episodes.
Jun Chen; LiJian Gao; Min Yao; Jilin Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista española de cardiología     Volume:  61     ISSN:  1579-2242     ISO Abbreviation:  Rev Esp Cardiol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-26     Completed Date:  2009-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404277     Medline TA:  Rev Esp Cardiol     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  1092-5     Citation Subset:  IM    
Departamento de Cardiología, Hospital Fuwai, Instituto Cardiovascular, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
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MeSH Terms
Catheterization / adverse effects*
Coronary Angiography / instrumentation*
Equipment Design
Middle Aged
Tachycardia, Ventricular / etiology*
Ventricular Fibrillation / etiology*

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