Nitter-Hauge S, Enge I
Acta Med Scand. 1976;200(1-2):123-126. doi: 10.1111/j.0954-6820.1976.tb08206.x.
A review is presented of 1094 selective coronary artery studies during a 3-year period in which 7001 coronary artery injections were performed using the percutaneous transfemoral artery approach as described by Judkins. A total of 24 serious complications occurred, including 11 ventricular fibrillations, 5 asystoles or severe bradycardias, 3 acute myocardial infarctions and 5 cerebral vascular accidents. There were 5 deaths, giving an overall mortality rate of 0.46%. Causes of individual complications are analyzed. The incidence of serious cardiac complications did not differ significantly from that reported in the literature with the Sones technique. The Judkins technique is a simple and reliable method for selective coronary arteriography. In our opinion, the incidence of complications can be kept at an acceptably low level by meticulous examination techniques.
本文回顾了在3年时间里进行的1094例选择性冠状动脉研究，期间采用Judkins描述的经皮股动脉途径进行了7001次冠状动脉注射。共发生24例严重并发症，包括11例心室颤动、5例心搏停止或严重心动过缓、3例急性心肌梗死和5例脑血管意外。有5例死亡，总死亡率为0.46%。分析了个别并发症的原因。严重心脏并发症的发生率与文献报道的Sones技术无显著差异。Judkins技术是一种简单可靠的选择性冠状动脉造影方法。我们认为，通过细致的检查技术可将并发症发生率保持在可接受的低水平。
