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Volume 349:1311-1312 October 2, 2003 Number 14
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Invasive Cardiovascular Procedures — Optimizing Patient Safety
John W. Hirshfeld, Jr., M.D.

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 by Marenzi, G.
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Invasive cardiovascular procedures offer many patients substantial diagnostic and therapeutic benefits. Vascular angioplasty, electrophysiological ablation procedures, and transjugular intrahepatic portosystemic shunt procedures are among the important therapeutic procedures that provide potentially superior alternatives to conventional open operations. In addition, invasive cardiovascular procedures provide diagnostic information that cannot be obtained by noninvasive methods. The diagnostic and therapeutic value of these procedures has fueled a broad-based and successful effort to improve their safety and efficacy.

The hazards associated with invasive cardiovascular procedures include vascular injury, systemic embolization, contrast-agent–induced nephropathy, and radiation-induced injury. Although substantial progress has been made, severe life-threatening and fatal . . . [Full Text of this Article]


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From the University of Pennsylvania School of Medicine, Philadelphia.


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