Grollman J H, Liu C K, Astone R A, Lurie M D
Little Company of Mary Hospital, Torrance, CA 90503.
Cathet Cardiovasc Diagn. 1988;14(3):159-64. doi: 10.1002/ccd.1810140305.
Thromboembolic complications occurred during diagnostic coronary arteriography in three patients in spite of systemic heparinization. These mishaps were associated with the use of a nonionic contrast medium, which is known not to have a significant protective effect on coagulation pathways. If nonionic contrast media are to be used in angiographic studies of critical organs, meticulous technique is imperative, and adequate systemic heparinization is recommended.