Cardiac catheterization and complications: initial experience

<p>Cardiac catheterization for diagnostic and therapeutic purposes has been routinely used since last one year in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal. Because all cardiac catheterizations involve the insertion of cardiac catheters into the circulatory system, it...

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Main Authors: L Dubey, SK Sharma
Format: Article
Language:English
Published: College of Medical Sciences 2012-09-01
Series:Journal of College of Medical Sciences-Nepal
Subjects:
Online Access:http://nepjol.info/index.php/JCMSN/article/view/6830
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spelling doaj-45513fa82f1546caa300914c09f949dd2020-11-24T20:43:19ZengCollege of Medical SciencesJournal of College of Medical Sciences-Nepal2091-06572091-06732012-09-01821610.3126/jcmsn.v8i2.68305444Cardiac catheterization and complications: initial experienceL Dubey0SK Sharma1Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, ChitwanCardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan<p>Cardiac catheterization for diagnostic and therapeutic purposes has been routinely used since last one year in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal. Because all cardiac catheterizations involve the insertion of cardiac catheters into the circulatory system, it should not be surprising that a variety of complications can ensue. These complications range from minor problems with no long-term sequelae to major problem even death. A total of 357 consecutive diagnostic and therapeutic cardiac catheterization performed in College of Medical Sciences and Teaching Hospital, Bharatpur between April 2011 to April 2012 were evaluated for their complications. Among them 220 (61.6%) were coronary angiogram, 65 (18.2 %) percutaneous transluminal coronary angioplasty (PTCA) and stenting, 7 ( 1.9 %) permanent pacemaker insertion, 65 (18.2%) were others including temporary pacemaker insertion, peripheral angiography and carotid angiography. There were 3 deaths (0.84%). Two deaths occurred following coronary angiogram and 1 death following PTCA stenting. Vascular complications occurred in 5 (1.4% patients) with groin haematoma in all. Contrast allergy occurred in 9 (2.5 %), vasovagal reaction in 2 (0.56%), pyrogen reaction in 6 (1.6%), and contrast induced nephropathy occurred in 3 (0.84%) patients. Cardiac catheterization procedure in CMS-TH, Bharatpur has acceptable low complications including death.</p> <p><em>Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 1-6</em></p> DOI: <a href="http://dx.doi.org/10.3126/jcmsn.v8i2.6830">http://dx.doi.org/10.3126/jcmsn.v8i2.6830</a>http://nepjol.info/index.php/JCMSN/article/view/6830Cardiac catheterizationcomplicationsCMS-TH
collection DOAJ
language English
format Article
sources DOAJ
author L Dubey
SK Sharma
spellingShingle L Dubey
SK Sharma
Cardiac catheterization and complications: initial experience
Journal of College of Medical Sciences-Nepal
Cardiac catheterization
complications
CMS-TH
author_facet L Dubey
SK Sharma
author_sort L Dubey
title Cardiac catheterization and complications: initial experience
title_short Cardiac catheterization and complications: initial experience
title_full Cardiac catheterization and complications: initial experience
title_fullStr Cardiac catheterization and complications: initial experience
title_full_unstemmed Cardiac catheterization and complications: initial experience
title_sort cardiac catheterization and complications: initial experience
publisher College of Medical Sciences
series Journal of College of Medical Sciences-Nepal
issn 2091-0657
2091-0673
publishDate 2012-09-01
description <p>Cardiac catheterization for diagnostic and therapeutic purposes has been routinely used since last one year in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal. Because all cardiac catheterizations involve the insertion of cardiac catheters into the circulatory system, it should not be surprising that a variety of complications can ensue. These complications range from minor problems with no long-term sequelae to major problem even death. A total of 357 consecutive diagnostic and therapeutic cardiac catheterization performed in College of Medical Sciences and Teaching Hospital, Bharatpur between April 2011 to April 2012 were evaluated for their complications. Among them 220 (61.6%) were coronary angiogram, 65 (18.2 %) percutaneous transluminal coronary angioplasty (PTCA) and stenting, 7 ( 1.9 %) permanent pacemaker insertion, 65 (18.2%) were others including temporary pacemaker insertion, peripheral angiography and carotid angiography. There were 3 deaths (0.84%). Two deaths occurred following coronary angiogram and 1 death following PTCA stenting. Vascular complications occurred in 5 (1.4% patients) with groin haematoma in all. Contrast allergy occurred in 9 (2.5 %), vasovagal reaction in 2 (0.56%), pyrogen reaction in 6 (1.6%), and contrast induced nephropathy occurred in 3 (0.84%) patients. Cardiac catheterization procedure in CMS-TH, Bharatpur has acceptable low complications including death.</p> <p><em>Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 1-6</em></p> DOI: <a href="http://dx.doi.org/10.3126/jcmsn.v8i2.6830">http://dx.doi.org/10.3126/jcmsn.v8i2.6830</a>
topic Cardiac catheterization
complications
CMS-TH
url http://nepjol.info/index.php/JCMSN/article/view/6830
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