Talk:Coronary catheterization
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[edit] Complication Rate
I am not a doctor. I don't even play one on TV.
The article on Coronary catheterization states "significant complication rates typically in the less than 0.0003% range". This is orders of magnitude lower than other figures I've seen (Noto, TJ, Johnson, LW, Krone, R, et al. Cardiac catheterization 1990: A report of the registry of the Society for Cardiac Angiography and Interventions. Cathet Cardiovasc Diagn 1991; 24:75.). Which states "the mortality for diagnostic procedures has remained remarkably constant (0.11%)". I don't know what could be more significant than mortality.
I'm not familiar with Wikipedia's policies, but citing sources would seem the norm. I don't know if I can believe one word in the article.
- Most of the article is correct. The question is which part. If you come accross unreliable or poorly cited information, just add {{fact}} as a faux reference. Other readers will understand there is no source yet, and will take the statement with the proverbial grain of salt. WP:CITE is indeed a key Wikipedia policy. JFW | T@lk 22:08, 13 March 2006 (UTC)
The above comment is correct, 0.1% is the rate quoted to patients at the time of consent for cath. Mortality today continues to be about 0.1%, and the other complications are higher. There should be a detailed discussion of the complications: not limited to dissection, MI, Death, stroke, urgent CABG, groin hematoma, hemorrhage, etc. Dlodge 00:10, 11 December 2006 (UTC)
[edit] Unnecessecary limited article
Why only coronary catheterization? We do alot of procedures for other reasons! --Ekko 19:00, 7 October 2005 (UTC)
- This is an extremely common procedure and it definitely deserves an article on its own. JFW | T@lk 22:06, 13 March 2006 (UTC)
[edit] History
In the history section, mention was made on a physician performing an angiogram on himself. I could find no source for this assertion, and other historical articles simply provide a more convincing narrative. JFW | T@lk 22:06, 13 March 2006 (UTC)
- This is correct. The first heart cath was performed by a German who threaded a catheter into his own heart and walked up the stairs to the x-ray dept. and shot film of the catheter in place. Dlodge 00:12, 11 December 2006 (UTC)
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- And of course, we even have an article on him: Werner Forssmann --WS 13:02, 11 December 2006 (UTC)
[edit] More specificity and possible merge
I would be interested in seeing a better description of the diagnostic aspects, particularly the distinction between a right heart cath and a left heart cath plus the left ventriculogram. Also, there is short wiki page for cardiac catheterization which could either be merged or redirected to this one as this one is much more extensive (though I've always heard it called a cardiac cath which is why I found that page first).--209.7.195.158 15:33, 17 May 2006 (UTC)
- I agree. It doesn't make much sense that the owerview article cardiac catheterization is so much shorter than this, about a much more limited field. I suspect an age bias, and a volume bias. (Coronary cathetherization is done in a great volume on the middle aged.) --Ekko 13:35, 11 December 2006 (UTC)
