الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY :::ardiac catheter is an important tool used over the last 50 years .nat opened a new era of special interest in diagnosis and I”eatment of coronary heart diseases. Cardiac catheterization unit of Benha university hospital was constructed in 1997 , since that time, the activity of the unit is expanding. This study was conducted to evaluate the efficiency and compatibility of the unit as regard diagnostic and intervention procedures during the last 2 years with special reference to cases of coronary artery disease. ”he total number of coronary angiography done during 2003 & ;~004was (615); of them (535) D.C.A and (80) P.C.1 . ln this study, the success rate of femoral approach in D.C.A (luring 2003 & 2004 was ( 98.3%). The success rate offemoral approach in D.C.A during 2003 was 197.6%,) and during 2004 was (99.2 %). The success rate of P.C.1 in the unit during 2003 & 2004 was 193.75’% ). The success rate of P.C.! during 2003 was (90.4%) and during :W04was (97.4’Yo) with significant difference. The success rates ofP.C.1 according to the lesion type in Benha mit were (100 %) for type A lesions, (97.6 %.) for type B esions and (63.7 %) for type C lesions. Tne total number of cases that developed complications in nc.A during 2003 was (II) cases (3.7%), while during 2004 was (4) cases (1.6’%) . This indicates better selection of cases and improving skills and facilities. The total number of cases that had complications in D.C.A were (15) cases (2.8%.). The mean age of complicated cases was ( 51±1) years, the incidence of D.M was ( 43.75%) , HTN ( 26.6%) , smoking (37.5%) , multi vessel disease ( 18.75%) , two vessels disease (~6.6%), the mean EF was (49%). Total number of cases that developed complications in P.C.I during 2003 were (3) cases (7.1 ’%) , while during 2004 was (2) cases (5.2%). This indicates that incidence of complications is declining year by year. Tile total number of cases that had complications in P.C.! were (:;) cases (6.2%). T’ie mean age of complicated cases was (51) years , the incidence ofD.M was ( 100%), HTN (40%) , smoking (40%) , multivessel disease ( 20%) , two vessels disease (60%) the mean EF was ( 48.2% ). Tne activity of the unit included also during 2003 & 2004, 10 cases of electrophysiological studies (EPS) , 18 cases of percutaneous mitral valvuloplasty(PMV) , one case of pcrcuraneous pulmonary valvuloplasty and 11 cases of permanent pacemaker. |