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DOI: 10.1055/s-0042-107182
Notfallmanagement im Herzkatheterlabor
Publikationsverlauf
Publikationsdatum:
23. Juni 2016 (online)
Abstract
During each catheter intervention certain complications may occur. The individual risk of each patient is dependent on several factors (f.e. his clinical status, the urgency of the procedure, the technical skills of the interventionalist and his team). To prevent catheter-related complications a strategic planning and skillful performance of the procedure are mandatory. Additionally, an appropriate post-procedural monitoring is necessary to ensure a event-free outcome of the patient. In this chapter the treatment strategies of the most important catheter-related complications are presented. Additionally, underlying causes and modes to prevent these events are discussed.
In the future, better imaging technologies and improved training programs (incl. virtual reality simulation) may help to reduce the complication rate of catheter procedures.
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Literatur
- 1 Deutsche Herzstiftung (Hrsg.) Deutscher Herzbericht 2015. Frankfurt: Deutsche Herzstiftung; 2015. ISBN ISBN: 978-3-9811926-6-7
- 2 Goss JE et al. Systemic anaphylactoid reactions to iodinated contrast media during cardiac catheterization procedures: guidelines for prevention, diagnosis, and treatment. Laboratory Performance Stan-dards Committee of the Society for Cardiac Angiography and Interventions. Cathet Cardiovasc Diagn 1995; 34: 99-104
- 3 Doyle BJ, Ting HH, Bell MR et al. Major femoral bleeding complications after percutane-ous coronary intervention: incidence, predictors, and impact on long-term survival among 17,901 patients treated at the Mayo Clinic from 1994 to 2005. JACC Cardiovasc Interv 2008; 1: 202-209
- 4 Frank JJ, Kamalakannan D, Kodenchery M et al. Retroperitoneal hematoma in patients undergoing cardiac catheterization. J Interv Cardiol 2010; 23: 569-574
- 5 Schwartz BG, Burstein S, Economides C et al. Review of vascular closur devices. J Invasive Cardiol 2010; 22: 599-607
- 6 Soar J et al. Erweiterte Reanimationsmaßnahme für Erwachsene („adult advanced life support“). Notfall- und Rettungsmedizin 2015; 8: 770 ff
- 7 Eshtehardi P, Adorjan P, Togni M et al. Iatrogenic left main coronary artery dissection: incidence, classification, management, and long-term follow-up. Am Heart J 2010; 159: 1147-1153
- 8 Ellis SG, Ajluni S, Arnold AZ et al. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 1994; 90: 2725-2730
- 9 Holmes DR, Nishimura R, Fountain R et al. Iatrogenic pericardial effusion and tamponade in the percutaneous intracardiac interventions era. J Am Coll Cardiol 2009; 2: 705-717
- 10 Berg R, Buhari C. Treating and Preventing No Reflow in the Cardiac Catheterization Laboratory. Curr Cardiol Rev 2012; 8: 209-214
- 11 Jolly SS, Cairns JA, Yusuf S et al. Outcomes after thrombus aspiration for ST elevation myocardial infarction: 1-year follow-up of the prospective randomised TOTAL trial. Lancet 2016; 387: 127-135