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1

Busola Oladimeji, Alaba, Oluwaseye Michael Oladimeji, Adeola Olubunmi Ajibare, Oluwafemi Tunde Ojo, Ramon Kolade Moronkola, Ayo Raheem, Abdulazeez Olanrewaju, et al. "Diagnostic cardiac catheterization in a modified cardiac catheterization laboratory: The LASUTH experience." Global Translational Medicine 2, no. 2 (May 11, 2023): 249. http://dx.doi.org/10.36922/gtm.249.

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Cardiac catheterization is useful in the diagnosis and treatment of congenital and acquired cardiac diseases. However, it is rarely done in Nigeria because of the limited cardiac catheterization laboratories in the country. Transforming the existing operating theaters to modified catheterization laboratories may bridge the gap of limited cardiac catheterization. This study reviewed the procedures, outcomes, and challenges of a modified catheterization laboratory in Nigeria. A retrospective review of all diagnostic cardiac catheterizations at the modified catheterization laboratory of Lagos State University Teaching Hospital (LASUTH) between January and May 2022 was performed. A total of 8 adult and 4 pediatric patients had cardiac catheterization, and the mean age was 23.7 ± 16.9 (range: 2 – 52) years. The most common lesion was the ventricular septal defect. Complex congenital heart disease was seen in 16% of subjects, whereas pulmonary hypertension was found in 83% (10). The most common complication was transient bradycardia. Good surgical outcome was recorded in the patients who subsequently had corrective surgeries. A modified catheterization laboratory may be a suitable alternative to the standard catheterization laboratory in low-resourced countries.
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2

Alkhawam, H., R. Sogomonian, N. Vyas, J. Sayanlar, D. Rubinstein, and M. Kabach. "ID: 8: 30-DAY READMISSION RATE OF PATIENTS UNDERGOING CORONARY CARDIAC CATHETERIZATION IN THE AMBULATORY VERSUS IN-HOSPITAL SETTING." Journal of Investigative Medicine 64, no. 4 (March 22, 2016): 921.2–921. http://dx.doi.org/10.1136/jim-2016-000120.21.

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BackgroundCardiac Catheterizationis increasingly performed in an outpatient setting. No study has been large enough to detect differences in the major complication rate which occur infrequently in whichever setting, and there is considerable variation between studies in the incidence of minor complications after outpatient procedures.ObjectiveTo investigate the 30-days readmission rate of ambulatory and in-hospital coronary cardiac Catheterization.MethodA retrospective study of 9053 patients who had coronary cardiac angiography between 2005 and 2014. We divided the patients in to two groups, patients who had cardiac Catheterizationin ambulatory setting versus in-hospital setting.ResultsOf 9053 patients, 5998 (66%) patients had in-hospital cardiac Catheterizationand 3,055 (34%) had ambulatory cardiac catheterization. Patients who had ambulatory coronary cardiac Catheterizationhad a higher 30-days readmission rate comparing to in-hospital setting (Odd ratio: 3.2, 95% CI: 2.8–3.7, p<0.0001).Gender analysis, 27% of males who had ambulatory coronary cardiac Catheterizationreadmitted within 30-days of discharge versus 12% of females (OR: 2.4, 95% CI: 2–2.9, p<0.0001). Among in-hospital setting, no statistically significant between males and females (p=0.6).ConclusionOur study showed that ambulatory coronary cardiac Catheterization associated with a higher 30-days readmission rate comparing to in-hospital setting. Furthermore, males who had ambulatory cardiac Catheterization seem to have more 30-days readmission rate.
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3

Vakhshoori, Mehrbod, and Mohammad Reza Movahed. "Useful Respiratory Maneuvers Aiding Left Heart Cardiac Catheterization and Intervention. A Comprehensive Review." Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 22, no. 4 (May 10, 2023): 135–40. http://dx.doi.org/10.1097/hpc.0000000000000323.

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Left heart catheterizations, coronary angiography, and coronary interventions are important common cardiac procedures. Performing a successful cardiac catheterization and intervention and proper catheterization and device delivery is not always without difficulties, especially in the context of calcification or vessel tortuosity. Although there are some techniques to overcome these issues, performing respiratory maneuvers (inspiration or expiration) can be simply tried as the first step to increase successful procedures which is underreported and underutilized. The goal of this article is to review current literature regarding useful respiratory maneuvers that can aid left heart cardiac catheterization, coronary angiography, and intervention for a successful procedure.
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Kulairi, Zain, Nisha Deol, Renee Tolly, Rohan Manocha, and Maliha Naseer. "Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke?" Case Reports in Neurological Medicine 2017 (2017): 1–3. http://dx.doi.org/10.1155/2017/9280961.

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There are approximately 2 million cardiac catheterizations that occur every year in the United States and with an aging population this number continues to rise. Adverse events due to this procedure occur at low rates and include stroke, arrhythmia, and myocardial infarctions. Due to the high volume of procedures there are a growing number of adverse events. Stroke after cardiac catheterization (SCC) has an incidence between 0.27 and 0.5% and is one of the most debilitating complications leading to high rates of mortality and morbidity. Given the relatively uncommon clinical setting of stroke after cardiac catheterization, treatment protocols regarding the use of IV or IA thrombolysis have not been adequately developed. Herein, we describe a case of a 39-year-old male who developed a stroke following a cardiac catheterization where IV thrombolysis was utilized although the patient was on heparin prior to cardiac catheterization.
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Lo, Ted SN, Gurbir Bhatia, and Jim Nolan. "Cardiac catheterization." Medicine 34, no. 4 (April 2006): 153–56. http://dx.doi.org/10.1383/medc.2006.34.4.153.

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6

Fraser, Douglas, H. Sandmann, and J. Nolan. "Cardiac Catheterization." Medicine 30, no. 3 (March 2002): 36–40. http://dx.doi.org/10.1383/medc.30.3.36.28279.

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7

Goyal, Deepak, Karim Ratib, Rajay Narain, and Jim Nolan. "Cardiac catheterization." Medicine 38, no. 7 (July 2010): 390–94. http://dx.doi.org/10.1016/j.mpmed.2010.04.006.

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8

Holroyd, Eric, M. Adnan Nadir, Karim Ratib, and Jim Nolan. "Cardiac catheterization." Medicine 42, no. 8 (August 2014): 468–72. http://dx.doi.org/10.1016/j.mpmed.2014.05.017.

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9

Schwarz, Konstantin, Muhammad Ayyaz Ul Haq, Bharat Sidhu, and Jim Nolan. "Cardiac catheterization." Medicine 46, no. 8 (August 2018): 488–93. http://dx.doi.org/10.1016/j.mpmed.2018.05.014.

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10

Pappenheim, Christine L., and Brenda Kirkpatrick. "Cardiac Catheterization." AORN Journal 48, no. 6 (December 1988): 1130–37. http://dx.doi.org/10.1016/s0001-2092(07)69781-6.

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11

Kosova, Ethan, and Mark Ricciardi. "Cardiac Catheterization." JAMA 317, no. 22 (June 13, 2017): 2344. http://dx.doi.org/10.1001/jama.2017.0708.

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12

Eason, Daniel E., Anthony F. Rossi, Khalifah A. Aldawsari, Bhavi Patel, Habiba Farooq, and Danyal M. Khan. "Hemodynamic Consequence of Interventional Cardiac Catheterization in the Early Postoperative Period after Congenital Heart Surgery." Hearts 4, no. 3 (June 29, 2023): 38–47. http://dx.doi.org/10.3390/hearts4030005.

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While still considered a high-risk procedure, cardiac catheterization during the early postoperative period is being performed more frequently in the current era. Limited data are currently available concerning the acute hemodynamic consequences of these procedures. Therefore, the purpose of this study was to evaluate the safety/efficacy of cardiac catheterization performed within thirty days of congenital heart surgery. We completed a retrospective review of all catheterizations within 30 days of congenital heart surgery. Procedures were performed due to failure to progress or hemodynamic deterioration. There were 1873 congenital heart surgeries during the study period. One hundred and three (6.2%) patients with a median age of 124 days underwent catheterization. Sixty-three cases received interventions, and forty patients underwent diagnostic catheterization. Early cardiac catheterization did not show a significant immediate change in the hemodynamics or inotrope score. Survival for patients undergoing diagnostic Cath (81%) did not differ significantly from the intervention group (89%). Although cardiac catheterization was performed on patients at the highest risk for death in the postoperative period, catheter intervention did not increase the risk of death. Those patients undergoing catheter intervention did not seem to experience major adverse events but achieved mild improvement in tissue perfusion.
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13

Yeh, Mary J., Elizabeth Lydon, Kimberlee Gauvreau, Kathy J. Jenkins, David Slater, and Lisa Bergersen. "Exploring procedure duration and risk for serious adverse events during congenital cardiac catheterization." BMJ Surgery, Interventions, & Health Technologies 5, no. 1 (January 2023): e000142. http://dx.doi.org/10.1136/bmjsit-2022-000142.

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ObjectivesWhile procedure length is considered an important metric for cardiothoracic surgical procedures, the relationship between procedure length and adverse events (AEs) in congenital cardiac catheterizations has little published data available. Furthermore, most existing congenital cardiac catheterization risk prediction models are built on logistic regression models. This study aimed to characterize the relationship between case length and AE occurrence in congenital cardiac catheterization while adjusting for known risk factors and to investigate the potential role of non-linear analysis in risk modeling.DesignAge, case type, and procedure duration were evaluated for relationships with the primary outcome using logistic regression. Non-linearity of the associations with continuous risk factors was assessed using restricted cubic spline transformations.Setting and participantsAll diagnostic and interventional congenital cardiac catheterization cases performed at Boston Children’s Hospital between January 1, 2014 and October 31, 2019 were analyzed.Main outcome measureThe primary outcome was defined as the occurrence of any clinically significant (level 3/4/5) AE.ResultsA total of 7011 catheterization cases met inclusion criteria, with interventional procedures accounting for 68% of cases. Median case duration was 97 min. A multivariable model including age, procedure type, and case duration showed a significant relationship between case duration and AE occurrence (OR 1.07 per 10 min increase, 95% CI 1.06 to 1.09, p<0.001).ConclusionsThis study demonstrated the importance of procedure duration as a potential frontier for procedure risk management. Better understanding of the role of procedure duration in cardiac catheterizations may provide opportunities for quality improvement in patient safety and resource planning.
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14

Morgan-Hughes, N. "Essential Cardiac Catheterization." British Journal of Anaesthesia 99, no. 6 (December 2007): 924. http://dx.doi.org/10.1093/bja/aem319.

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15

Benson, Lee. "Interventional cardiac catheterization." Current Opinion in Cardiology 5, no. 1 (February 1990): 40–44. http://dx.doi.org/10.1097/00001573-199002000-00007.

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16

Hellenbrand, William E. "Interventional cardiac catheterization." Current Opinion in Cardiology 6, no. 1 (February 1991): 110–18. http://dx.doi.org/10.1097/00001573-199102000-00018.

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17

Rocchini, Albert P. "Pediatric cardiac catheterization." Current Opinion in Cardiology 17, no. 3 (May 2002): 283–88. http://dx.doi.org/10.1097/00001573-200205000-00013.

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18

Walder, Lon A., and Frederick A. Schaller. "Diagnostic cardiac catheterization." Postgraduate Medicine 97, no. 3 (March 1995): 37–45. http://dx.doi.org/10.1080/00325481.1995.11945967.

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19

Pihkala, Jaana, David Nykanen, Robert M. Freedom, and Lee N. Benson. "INTERVENTIONAL CARDIAC CATHETERIZATION." Pediatric Clinics of North America 46, no. 2 (April 1999): 441–64. http://dx.doi.org/10.1016/s0031-3955(05)70128-0.

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20

Conti, C. Richard. "Outpatient Cardiac Catheterization." New England Journal of Medicine 319, no. 19 (November 10, 1988): 1282–83. http://dx.doi.org/10.1056/nejm198811103191910.

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21

STACK, RICHARD S., ERIC B. CARLSON, TOMOAKI HINOHARA, and HARRY R. PHILLIPS. "Interventional Cardiac Catheterization." Investigative Radiology 20, no. 4 (July 1985): 333–44. http://dx.doi.org/10.1097/00004424-198507000-00002.

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22

Siragusa, Vincent. "Ambulatory cardiac catheterization." American Heart Journal 112, no. 6 (December 1986): 1353–54. http://dx.doi.org/10.1016/0002-8703(86)90398-4.

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23

Pepine, Carl J., Francis J. Klocke, Hugh D. Allen, William W. Parmley, Thomas M. Bashore, Thomas A. Ports, Jeffrey A. Brinker, et al. "ACC/AHA guidelines for cardiac catheterization and cardiac catheterization laboratories." Journal of the American College of Cardiology 18, no. 5 (November 1991): 1149–82. http://dx.doi.org/10.1016/0735-1097(91)90533-f.

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24

Simon, A., B. Bumgarner, K. Clark, and S. Israel. "Manual versus mechanical compression for femoral artery hemostasis after cardiac catheterization." American Journal of Critical Care 7, no. 4 (July 1, 1998): 308–13. http://dx.doi.org/10.4037/ajcc1998.7.4.308.

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BACKGROUND: Most cardiac catheterizations are performed via femoral artery access. Reported rates of both peripheral vascular complications and success rates for the use of manual and mechanical compression techniques to achieve femoral artery hemostasis after cardiac catheterization vary. OBJECTIVE: To determine is use of a mechanical clamp is as effective as standard manual pressure for femoral artery hemostasis after cardiac catheterization. METHODS: Subjects consisted of 720 patients from 2 community hospitals who had elective diagnostic cardiac catheterization via the femoral artery. The control group (n=343) received manual compression for hemostasis; the study group (n=377) received mechanical compression. Standard protocols were used for the 2 compression techniques. Pressure was applied for a minimum of 10 minutes for 5F and 6F sheaths and catheters and for a minimum of 15 minutes for 7F and 8F sheaths and catheters. Prospective data were collected and analyzed for each patients, including sheath or catheter size, blood pressure, height, weight, age, time from administration of local anesthetic to successful cannulation of the femoral artery, anticoagulation status, total compression time, physician performing the catheterization procedure, nurse or technician who obtained hemostasis, and complications. In follow-up, patients were asked site-specific and functional status questions 1 to 2 days after the catheterization procedure and again 3 days after the catheterization procedure. RESULTS: Data were analyzed by using frequency distributions, measures of central tendency, and measures of variability. Only 1 difference between the 2 groups was significant: manual compression time was 14.93 +/- minutes, whereas mechanical compression time was 17.13 +/- minutes. CONCLUSION: Mechanical compression is as effective as manual compression for femoral artery hemostasis after cardiac catheterization.
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Dubey, L., and SK Sharma. "Cardiac catheterization and complications: initial experience." Journal of College of Medical Sciences-Nepal 8, no. 2 (September 12, 2012): 1–6. http://dx.doi.org/10.3126/jcmsn.v8i2.6830.

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Cardiac catheterization for diagnostic and therapeutic purposes has been routinely used since last one year in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal. Because all cardiac catheterizations involve the insertion of cardiac catheters into the circulatory system, it should not be surprising that a variety of complications can ensue. These complications range from minor problems with no long-term sequelae to major problem even death. A total of 357 consecutive diagnostic and therapeutic cardiac catheterization performed in College of Medical Sciences and Teaching Hospital, Bharatpur between April 2011 to April 2012 were evaluated for their complications. Among them 220 (61.6%) were coronary angiogram, 65 (18.2 %) percutaneous transluminal coronary angioplasty (PTCA) and stenting, 7 ( 1.9 %) permanent pacemaker insertion, 65 (18.2%) were others including temporary pacemaker insertion, peripheral angiography and carotid angiography. There were 3 deaths (0.84%). Two deaths occurred following coronary angiogram and 1 death following PTCA stenting. Vascular complications occurred in 5 (1.4% patients) with groin haematoma in all. Contrast allergy occurred in 9 (2.5 %), vasovagal reaction in 2 (0.56%), pyrogen reaction in 6 (1.6%), and contrast induced nephropathy occurred in 3 (0.84%) patients. Cardiac catheterization procedure in CMS-TH, Bharatpur has acceptable low complications including death. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 1-6 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6830
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Mullins, C. E. "History of Pediatric Interventional Catheterization: Pediatric Therapeutic Cardiac Catheterizations." Pediatric Cardiology 19, no. 1 (January 1998): 3–7. http://dx.doi.org/10.1007/s002469900236.

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27

Engle, Mary Allen. "Cardiac Surgery Without Preoperative Cardiac Catheterization." Pediatric Annals 16, no. 8 (August 1, 1987): 623–28. http://dx.doi.org/10.3928/0090-4481-19870801-07.

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Perler, B. A. "Surgical Treatment of Femoral Pseudoaneurysm following Cardiac Catheterization." Cardiovascular Surgery 1, no. 2 (April 1993): 118–21. http://dx.doi.org/10.1177/096721099300100206.

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Over a period of 8 years, 31 femoral pseudoaneurysms following cardiac catheterization were surgically repaired in 15 men and 15 women ranging in age from 38 to 89 (mean 68.1) years. The catheterizations were performed for evaluation of coronary artery disease in 23 patients (77%), valvular heart disease in three (10%), both coronary artery disease and valvular disease in two (7%) and for other reasons in two (7%). Percutaneous transluminal coronary angioplasty was performed in eight patients (27%) and aortic valvuloplasty in one (3%). Surgical repair was performed from 1 to 47 (mean 10.2) days after catheterization under local anesthesia in 16 patients (52%). regional anesthesia in ten (32%) and general anesthesia in five (16%). All lesions were repaired by primary suture. The operating time ranged from 25 to 90 (mean 50.5) min and intraoperative blood loss from 50 to 900 (mean 259.2) ml. There were no operative deaths and one postoperative myocardial infarction. No patients have developed recurrent pseudoaneurysm, with follow-up ranging from 1 to 53 (mean 11.4) months. These results demonstrate that the surgical repair of femoral pseudoaneurysm following cardiac catheterization is safe, effective and durable.
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Gautam, Nischal K., Kayla Bober, James A. Pierre, Olga Pawelek, and Evelyn Griffin. "Deep Tracheal Extubation Using Dexmedetomidine in Children With Congenital Heart Disease Undergoing Cardiac Catheterization: Advantages and Complications." Seminars in Cardiothoracic and Vascular Anesthesia 23, no. 4 (August 20, 2019): 387–92. http://dx.doi.org/10.1177/1089253219870628.

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Objective. Deep tracheal extubation using dexmedetomidine is safe and provides smooth recovery in children with congenital heart disease undergoing cardiac catheterization. Design. Single-institution, retrospective study of prospectively collected data. Participants. All patients aged between 1 month and 5 years who underwent general endotracheal anesthesia for diagnostic and interventional cardiac catheterizations in the cardiac catheterization suite from January 2015 (change in standard operating procedure) through October 2016 (approval of institutional review board for study). Measurement and Main Results. One hundred and eighty-nine patients (81%) of the 232 patients who underwent cardiac catheterization during the study period were noted to undergo deep tracheal extubation. Cyanotic heart disease was present in 87 patients (46%), history of prematurity in 51 (27%), and pulmonary hypertension in 26 (14%) patients. A documented smooth recovery in the postoperative care unit (PACU) requiring no additional analgesics or sedatives was observed in 91% of the patients. The majority of patients required no airway support after deep extubation (n = 140, 74%, P = .136). The presence of pulmonary hypertension (odds ratio = 4.45, P = .035) and presence of a cough on the day of the procedure (odds ratio = 7.10, P = .03) were significantly associated with the use of oxygen or use of oral airway for greater than 20 minutes in the PACU. After extubation, there were no reported events of aspiration, the use of noninvasive positive pressure ventilation, reintubation, heart block, or systemic hypotension requiring treatment or cardiac arrest. Conclusions. Deep extubation using dexmedetomidine in infants and toddlers after cardiac catheterization is feasible and enables smooth postoperative recovery with minimal adverse effects.
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Alkhawam, H., R. Sogomonian, N. Vyas, A. Al-khazraji, JJ Lieber, R. Madanieh, TJ Vittorio, and M. Kabach. "ID: 4: OUTCOMES IN CONGESTIVE HEART FAILURE PATIENTS UNDERGOING TRANSFEMORAL VERSUS TRANSRADIAL CARDIAC CATHETRIZATION: RESTROSPECTIVE CHART ANALYSIS." Journal of Investigative Medicine 64, no. 4 (March 22, 2016): 921.1–921. http://dx.doi.org/10.1136/jim-2016-000120.20.

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BackgroundSeveral studies addressed outcomes in terms of NACE and MACE in patients undergoing transradial vs tranfemoral cardiac catheterization. However, data on core quality measures such as length of stay and rehospitalization rates is lacking in the congestive heart failure population.MethodA retrospective chart analysis of 9,320 patients who were admitted to the hospital for chest pain and underwent cardiac catheterization. Based on ICD-9 codes, we included only patients with Congestive Heart Failure (CHF) with an Ejection Fracture ≤40 (HFrEF). We compared readmission rate and Length of stay in patients who underwent Transradial cardiac catheterization vs Transfemoral cardiac catheterization.ResultsOf a total 9,320 patients undergoing diagnostic coronary angiography, 800 patients had HFrEF. Four hundred patients underwent Transradial cardiac catheterization and 400 patients underwent Transfemoral cardiac catheterization. In the transfemoral cardiac catheterization group, 37 (9%) were readmitted within 30 days of discharge while 17 (4%) patients of 400 patients who underwent transradial cardiac catheterization were readmitted within 30 days of discharged (Odds ratio: 2.3, 95% CI: 1.8–3, p value 0.005).Length of stay was ∼5.2 days in transradial catheterization vs. ∼6 days in Transfemoral catheterization group (p 0.4).ConclusionIn our study population, transradial cardiac catheterization in HFrEF patients seemed to have a better outcome when compared to transfemoral cardiac catheterization in terms of 30-days readmission rate. Length of hospital stay was higher in the transfemoral group but did not achieve statistical significance, however. Larger studies that may also include patients with heart failure with preserved ejection fraction (HFpEF) are needed to investigate factors that may contribute to such outcomes.
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31

Montes, Patricia. "Managing Outpatient Cardiac Catheterization." American Journal of Nursing 97, no. 8 (August 1997): 34. http://dx.doi.org/10.2307/3465318.

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32

Tremko, Laurie A. "Understanding Diagnostic Cardiac Catheterization." American Journal of Nursing 97, no. 2 (February 1997): 16K. http://dx.doi.org/10.2307/3465485.

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Lippmann, Maurice, and Richard S. Ginsburg. "Propofol in Cardiac Catheterization." Anesthesia & Analgesia 75, no. 5 (November 1992): 859. http://dx.doi.org/10.1213/00000539-199211000-00039.

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34

Kao, Y. James, and Richard G. Norton. "Propofol in Cardiac Catheterization." Anesthesia & Analgesia 75, no. 5 (November 1992): 859???860. http://dx.doi.org/10.1213/00000539-199211000-00040.

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35

Reich, David L. "Propofol in Cardiac Catheterization." Anesthesia & Analgesia 75, no. 5 (November 1992): 860. http://dx.doi.org/10.1213/00000539-199211000-00041.

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&NA;. "The Cardiac Catheterization Handbook." American Journal of Nursing 96, no. 6 (June 1996): 16L. http://dx.doi.org/10.1097/00000446-199606000-00024.

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Tremko, Laurie A. "Understanding Diagnostic Cardiac Catheterization." American Journal of Nursing 97, no. 2 (February 1997): 16K—16R. http://dx.doi.org/10.1097/00000446-199702000-00017.

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38

Allen, Hugh D., Robert H. Beekman, Arthur Garson, Ziyad M. Hijazi, Charles Mullins, Martin P. O’Laughlin, and Kathryn A. Taubert. "Pediatric Therapeutic Cardiac Catheterization." Circulation 97, no. 6 (February 17, 1998): 609–25. http://dx.doi.org/10.1161/01.cir.97.6.609.

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Harper, John P. "Post-Diagnostic Cardiac Catheterization." Journal for Nurses in Staff Development (JNSD) 23, no. 6 (November 2007): 271–76. http://dx.doi.org/10.1097/01.nnd.0000300833.54159.12.

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40

Montes, Patricia. "Managing Outpatient Cardiac Catheterization." American Journal of Nursing 97, no. 8 (August 1997): 34–37. http://dx.doi.org/10.1097/00000446-199708000-00034.

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41

Vinall, M., and G. Aleong. "Update on Cardiac Catheterization." MD Conference Express 13, no. 14 (October 1, 2013): 20–21. http://dx.doi.org/10.1177/155989771314011.

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42

Miller, Gregory L. "HANDBOOK OF CARDIAC CATHETERIZATION." Chest 100, no. 5 (November 1991): 16. http://dx.doi.org/10.1016/s0012-3692(16)33650-9.

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43

Perleth, Matthias, Hermann Mannebach, Reinhard Busse, Ulrich Gleichmann, and Friedrich Wilhelm Schwartz. "CARDIAC CATHETERIZATION IN GERMANY." International Journal of Technology Assessment in Health Care 15, no. 4 (October 1999): 756–66. http://dx.doi.org/10.1017/s0266462399154151.

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Objective: To describe the diffusion of cardiac catheterization technologies and time trends of their use according to setting and geographic region in Germany during a 13-year period. It is hypothesized that the cardiac catheterization technology has matured from an experimental state to a broadly accepted technology.Methods: Data come from the annual survey of the German Society for Cardiovascular Research. All German cardiac catheterization units are requested to provide data on volume and type of catheterization procedures. Data are available from 1984 to 1996. Number and type of procedure, type of unit, diagnoses, and complications are all recorded. The overall response rate is 90%, on average.Results: The total number of catheterization units was 324 in 1996, or an average of 3.69 units per 1 million population. In 1996, all of the East German Länder and districts were below average. Utilization of cardiac catheterization procedures increased exponentially during the study period. The number of angiographies rose from about 45,000 in 1984 to more than 450,000 in 1996; the number of angioplasties increased almost by a factor of 50 to 125,000 procedures in 1996. Inverse correlations between the rates per million population of either coronary angiographies or PTCAs and mortality rates from ischemic heart disease were observed at the level of the German Länder.Conclusion: Further studies taking patient characteristics, long-term outcomes, and other factors in account are necessary to clarify the large geographic variations and the negative relationship between utilization rates and coronary heart disease mortality found in this study.
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44

Huber, Charlotte. "Safety After Cardiac Catheterization." AJN, American Journal of Nursing 109, no. 8 (August 2009): 57–58. http://dx.doi.org/10.1097/01.naj.0000358503.52667.bf.

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Holmes, David R. "Cardiac Catheterization and Angiography." Mayo Clinic Proceedings 62, no. 5 (May 1987): 420. http://dx.doi.org/10.1016/s0025-6196(12)65451-2.

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Saxena, Anita, Pankaj Vohra, Yogesh Jain, Suresh Narayanan, and R. Krishna Kumar. "Umbilical vein cardiac catheterization." American Heart Journal 126, no. 6 (December 1993): 1494. http://dx.doi.org/10.1016/0002-8703(93)90570-y.

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Javorski, Joseph J., Dolly D. Hansen, Peter C. Laussen, M. Lizanne Fox, Josée Lavoie, and Frederick A. Burrows. "Paediatric cardiac catheterization: innovations." Canadian Journal of Anaesthesia 42, no. 4 (April 1995): 310–29. http://dx.doi.org/10.1007/bf03010708.

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Goss, Jerome E., and Airlie Cameron. "Mobile cardiac catheterization laboratories." Catheterization and Cardiovascular Diagnosis 26, no. 1 (May 1992): 71–72. http://dx.doi.org/10.1002/ccd.1810260116.

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Roger, Hugues. "Radiodermatitis Following Cardiac Catheterization." Archives of Dermatology 133, no. 2 (February 1, 1997): 242. http://dx.doi.org/10.1001/archderm.1997.03890380116022.

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D'Incan, M. "Radiodermatitis following cardiac catheterization." Archives of Dermatology 133, no. 2 (February 1, 1997): 242–43. http://dx.doi.org/10.1001/archderm.133.2.242.

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