CARDIAC CATH CASES WORTH PURSUING

INDICATIONS INCLUDE:
acute myocardial infarction, or recurrent angina following a heart attack markedly abnormal stress test results angina that is poorly controlled with medication congestive heart failure due to cardiac valve recurring chest pain of unidentified cause defects, coronary artery disease, or suspected cardiomyopathy monitoring of rejection in heart transplant patients evaluation of congenital heart evaluation of survivors of sudden cardiac death

CONTRAINDICATIONS:
history of severe allergy to contrast dye without appropriate pretreatment uncontrolled coagulopathy (bleeding disorders) significant kidney dysfunction (excepting pre-existing dyalisis patients) active systemic infection

UNRECOGNIZED AND UNTREATED COMPLICATIONS CONSTITUTING NEGLIGENCE:
at the site of arterial access ( typically the femoral artery occurring 1-3% ) including major and minor bleeding, discomfort, numbness, hematoma, pseudoaneurysm, embolization, and arterial-venous fistula stroke, heart attack, death, kidney damage, arrhythmias, and allergic reactions to the contrast dye ( .1%)

UNUSUAL COMPLICATIONS OFTEN INDICATIVE OF NEGLIGENT TECHNIQUE:
injection of air bubbles resulting in cardiac arrest bladder perforation

Dr. SB – Cardiologist