Coronary occlusion during coronary angiography.

Abstract:

:Between January 1, 1970, and December 31, 1974, 2981 patients underwent coronary arteriography. Twelve acute coronary dissections or embolizations occurred, an incidence of 0.4%. The incidences of acute occlusions for the Sones and Judkins techniques were 0.19% (4/2077 studies) and 0.88% (8/940), respectively. No instance of acute occlusion has occurred during the past 490 studies performed by the Judkins technique. Eight patients with right coronary artery dissections or circumflex emboli were treated medically. All survived, but in seven a myocardial infarction evolved. Four patients underwent emergency saphenous venous bypass grafting because of refractory ventricular fibrillation (two patients) or because large amounts of myocardium were thought jeopardized (two patients). All patients in this group had interruption of flow supplying the left anterior descending coronary artery. Despite surgical intervention in less than three hours in all patients, survivors all sustained transmural myocardial infarctions. Three patients survived surgery and were discharged home.

journal_name

Circulation

journal_title

Circulation

authors

Guss SB,Zir LM,Garrison HB,Daggett WM,Block PC,Dinsmore RE

doi

10.1161/01.cir.52.6.1063

subject

Has Abstract

pub_date

1975-12-01 00:00:00

pages

1063-8

issue

6

eissn

0009-7322

issn

1524-4539

journal_volume

52

pub_type

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