medQuest Experts Discuss Cardiac Cath
& Cataract Cases Worth Pursuing

INDICATIONS FOR THE PROCEDURE: The possibility for complications resulting from this procedure are significant; a clear indication and consent are necessary to justify a cardiac catheterization.

INDICATIONS INCLUDE:

1. acute myocardial infarction, or recurrent angina following a heart attack

2. markedly abnormal stress test results

3. angina that is poorly controlled with medication

4. congestive heart failure due to cardiac valve defects,coronary artery disease, or suspected cardiomyopathy

5. recurring chest pain of unidentified cause

6. monitoring of rejection in heart transplant patients

7. evaluation of congenital heart disease

8. evaluation of survivors of sudden cardiac death

CONTRAINDICATIONS:

1. history of severe allergy to contrast dye without appropriate pretreatment

2. uncontrolled coagulopathy ( bleeding disorders )

3. significant kidney dysfunction (excepting pre-existing dyalisis patients)

4. active systemic infection

UNRECOGNIZED AND UNTREATED COMPLICATIONS CONSTITUTING NEGLIGENCE:

1. at the site of arterial access ( typically the femoral arteryoccurring 1-3% ) including major and minor bleeding, discomfort, numbness, hematoma, pseudoaneurysm, embolization, and arterial-venous fistula

2. stroke, heart attack, death, kidney damage, arrhythmias, and allergic reactions to the contrast dye ( .1%)

UNUSUAL COMPLICATIONS OFTEN INDICATIVE OF NEGLIGENT TECHNIQUE:

1. injection of air bubbles resulting in cardiac arrest

2. bladder perforation