Silverman J F, Wexler L
Clin Radiol. 1976 Jul;27(3):317-21. doi: 10.1016/s0009-9260(76)80078-5.
Complications statistics in 1625 patients undergoing selective coronary angiography by Judkin's technique have been analysed for four major areas-death, myocardial infarction, cerebral vascular accidents, and femoral thrombosis. Over a six-year period, considerable decrease in the number of complications has occurred. Myocardial infarctions have decreased from 2.4% (1967-71) to 0.44% (1973), an improvement related to careful catheter flushing, guidewire insertion technique and careful pressure monitoring within the coronary arteries. Cerebral accidents have decreased from a maximum of 1.3% (1972) to none (1973). This is also related to catheter guidewire techniques, and to avoidance of entering the cerebral vessels inadvertently when crossing the aortic arch with the coronary catheter. Femoral artery thromboses have decreased from 2.7% (1967-71) to none (1973). This is due to monitoring the dorsalis pedis pulse when compressing the femoral artery and avoiding complete femoral arterial obstruction with the associated lack of flow ultimately leading to thrombosis. Death rate has remained essentially unchanged (0.3-0.6%).
对1625例采用Judkin技术进行选择性冠状动脉造影的患者的并发症统计数据，从四个主要方面进行了分析，即死亡、心肌梗死、脑血管意外和股动脉血栓形成。在六年期间，并发症数量有了显著减少。心肌梗死发生率从2.4%（1967 - 1971年）降至0.44%（1973年），这一改善与仔细的导管冲洗、导丝插入技术以及冠状动脉内的仔细压力监测有关。脑血管意外发生率从最高的1.3%（1972年）降至无（1973年）。这也与导管导丝技术有关，以及在冠状动脉导管穿过主动脉弓时避免无意中进入脑血管。股动脉血栓形成发生率从2.7%（1967 - 1971年）降至无（1973年）。这是由于在压迫股动脉时监测足背动脉搏动，并避免股动脉完全阻塞，否则最终因血流缺乏会导致血栓形成。死亡率基本保持不变（0.3 - 0.6%）。
