„Out-patient“ Approach to Coronary Angiography: Our Results and Experience
Veselka J., Telekes P., Tesař D., Mates M., Urbanová T., Zvánovcová I., Honěk T.,Tůma
S.
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Summary:
The authors present a group of their first 110 patients subjected to selective coronarography
during an average 7-hours hospitalization period. In selection of patients they respect the criteria
ruling out the following approach: age above 70 years, distance of the patients domicile above 80
km or inaccessibility of catheterization laboratory within 45 minutes, serious aortic valve disease,
unstable coronary syndromes , insulin treated diabetes mellitus, renal insufficiency, cardiac in-
sufficiency, grade III or IV, severe left ventricular dysfunction, history of malignant arrhythmia,
acute myocardial infarction or cerebrovascular attack during month preceding examination, co-
ronary finding calling for urgent revascularization, complicated course of examination and men-
tal inability of patient. All coronarographies were performed by a 4F catheterization instrument,
no complications were recorded and readmission to hospital was not called for. An early check-up
by telephone was accepted by half the patients. When all the above criteria are respected the
authors recommend this procedure as a standard one without the need of hospital admission.
Key words:
Cardiac catheterization - Coronary artery disease - Coronary angiography.
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