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Angiografía coronaria - Risks

Nombres alternativos

Angiografía cardíaca; Angiografía del corazón; Angiograma coronario

Riesgos:

El cateterismo cardíaco ofrece un ligero aumento del riesgo cuando se compara con otros exámenes del corazón. Sin embargo, el examen es muy seguro cuando lo realiza un equipo experimentado.

Generalmente, los riesgos de complicaciones serias fluctúan de 1 en 1000 a 1 en 500. Los riesgos del procedimiento son los siguientes:

Las consideraciones asociadas con cualquier tipo de cateterismo incluyen las siguientes:

  • En general, hay riesgo de sangrado, infección y dolor en el sitio de inserción intravenosa.
  • Siempre hay un pequeño riesgo de daño a los vasos sanguíneos causado por los catéteres plásticos flexibles.
  • Se podrían formar coágulos sanguíneos en los catéteres que posteriormente podrían bloquear los vasos sanguíneos en cualquier parte del cuerpo.
  • El material de contraste podría causar daño a los riñones (particularmente en pacientes con diabetes).

Consideraciones:

Si se encuentra una obstrucción, el médico puede realizar una intervención coronaria percutánea (ICP) para liberar la obstrucción. Esto se puede hacer durante el mismo procedimiento, pero se puede demorar por diversas razones.

  • Reviewed last on: 5/23/2011
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington.

Referencias

Fraker TD Jr, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J et al. 2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation. 2007;116:2762-2772.

Davidson CJ, Bonow RO. Cardiac catheterization. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 19.

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