Therapeutic cardiac catheterization procedures had an overall complication rate of 15.1% compared to 3.6% for diagnostic procedures, with an overall procedure-related mortality of 0.2%.
Observational (n=11,821)
No
Absolute Event Rate: 15.1% vs 3.6%
Consecutive cardiac catheterization procedures done over a 2-yr period (April 1996 to March 1998) were prospectively analyzed to determine and characterize procedure-related complications (in-hospital and 1-mo follow-up), as they occur at present. During the study period, 11,821 procedures (7,953 diagnostic and 3,868 therapeutic) were performed. The majority of procedures (> 60%) were done in high-risk patients. Stents were implanted in 33% of patients, and adjunctive abciximab was used in 6.6% of therapeutic procedures. The overall complication rate was 8% (3.6% of diagnostic procedures and 15.1% of therapeutic procedures). The procedure-related mortality rates were 0.2%, 0.1%, and 0.5% for total, diagnostic, and therapeutic procedures, respectively. Cardiac complications were seen in 3.9% (1.5% of diagnostic and 9% of therapeutic procedures). Emergency cardiac surgery was required in 0.05% of the diagnostic procedure group and 0.3% of the therapeutic procedure group (total, 0.1%). Despite marked changes in patient population and practice, the complication rates of cardiac catheterization remain very low.
Chandrasekar et al. (Thu,) conducted a observational in Patients undergoing cardiac catheterization (n=11,821). Therapeutic cardiac catheterization vs. Diagnostic cardiac catheterization was evaluated on Overall complication rate. Therapeutic cardiac catheterization procedures had an overall complication rate of 15.1% compared to 3.6% for diagnostic procedures, with an overall procedure-related mortality of 0.2%.