Cardiac Catheterization, Embolism, Retina
Conditions
Keywords
Catheter, coronary artery disease, embolus, stroke, retinal emboli
Brief summary
Retinal emboli is a common phenomenon in cardiac catheterization. In this study the investigators evaluate the incidence of retinal emboli post diagnostic and therapeutic cardiac catheterization over 300 patients. The incidence was 6.3% and had no clinical sequel on visual acuity and visual field.
Detailed description
Background and Purpose Cardiac catheterization may cause retinal embolization, a risk factor for cerebrovascular emboli and stroke. We describe the incidence of clinically silent and apparent retinal emboli following diagnostic and interventional coronary catheterization and associated risk factors. Methods Three hundred selected patients attending a tertiary referral center for diagnostic and therapeutic cardiac catheterization were studied. Direct retinal examination and examination of the visual field and acuity were done before and after catheterization by a retinal specialist.
Interventions
coronary intervention: angiography
cardiac catheterization: angioplasty
Sponsors
Study design
Eligibility
Inclusion criteria
* every patient with diagnostic and therapeutic cardiac catheterization
Exclusion criteria
* patient refusal to follow up ophthalmology * abscence of coronary disease in angiogram * abnormal retinal angiogram prior to study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| retinal emboli | — | retinal emboli detected by retinal especialist by direct examination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| visual field | — | visual field detected by ophthalmologist |
| visual acuity | — | snellen chart by ophthalmologist |
Countries
Iran