Outpatient cardiac catheterization and arteriography: Twenty-month experience at the Arizona Heart Institute.
Outpatient cardiac catheterization and arteriography: Twenty-month experience at the Arizona Heart Institute.
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门诊心导管检查和动脉造影：亚利桑那心脏研究所二十个月的经验。
DOI：
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发表时间：
1981
期刊：
影响因子：
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通讯作者：
R. Koopot
中科院分区：
文献类型：
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作者：
E. Diethrich;S. Kinard;S. A. Pierce;R. Koopot
冠状动脉、脑和外周循环系统的动脉造影检查是识别和量化动脉粥样硬化性闭塞疾病的最终诊断技术。在过去，这种侵入性手术需要住院治疗。然而，最近，门诊插管和动脉造影术的概念已经成为现实。为了调查我们门诊侵入性手术实验室的完整性、安全性和成本效益，我们分析了我们在20个月期间进行的254次心导管插管和174次外周动脉造影的经验。没有死亡或重大并发症。轻微并发症(11%)包括切开部位出血、恶心、麻木和过敏反应。两名患有心律失常的患者需要进行心脏复律。由于动脉粥样硬化病变的性质，9名患者(2%)被转移到医院进行观察或立即手术。这项研究揭示了(1)门诊插管和动脉造影术的技术质量、安全性、适应症和禁忌症；(2)患者对门诊侵入性诊断研究的热情接受；(3)这些手术对不断上涨的医疗费用的经济影响；以及(4)门诊插管和动脉造影术在广泛范围内的潜力。
Arteriographic examination of the coronary, cerebral, and peripheral circulatory systems is the ultimate diagnostic technique for the identification and quantification of atherosclerotic occlusive disease. In the past, hospitalization has been required for this invasive procedure. Recently, however, the concept of outpatient catheterization and arteriography has become a reality. To investigate the integrity, safety, and cost-effectiveness of our outpatient invasive procedures laboratory, we analyzed our experience with 254 cardiac catheterizations and 174 peripheral arteriograms performed during a 20-month period. There were no deaths or major complications. Minor complications (11%) included bleeding from the cutdown site, nausea, numbness, and allergic reactions. Two patients with arrhythmias required cardioversion. Nine patients (2%) were transferred to the hospital for observation or immediate surgery due to the nature of their atherosclerotic lesions. This study reveals (1) the technical quality, safety, indications, and contraindications for outpatient catheterization and arteriography; (2) the enthusiastic patient acceptance of outpatient invasive diagnostic studies; (3) the economic impact of these procedures on escalating health-care costs; and (4) the potential for outpatient catheterization and arteriography on a broad scale.