SAFETY OF PULMONARY ANGIOGRAPHY IN THE 1990S

PURPOSE: To examine the safety of pulmonary angiography with low-osmol ar contrast material and modern angiographic techniques and to analyze periprocedural complications with respect to potential predictors. PA TIENTS AND METHODS: A retrospective review was conducted of data from 547 consecutive patients who underwent pulmonary angiography, Minor an d major complications were analyzed by using several clinical paramete rs. RESULTS: There were five major (0.9%) and 26 minor complications ( 4.8%). Eleven of the 26 minor complications were contrast-induced neph rotoxicity, There were no periprocedural deaths, Patients with complic ations had an increased incidence of coexistent pulmonary morbidities and were of a poorer physical status according to the American Society of Anesthesiology criteria, Moderate to severe pulmonary hypertension was correlated with major complications. Age, volume of contrast mate rial used, and presence of pulmonary embolism were not correlated with complications. CONCLUSION: Pulmonary angiography is a safe procedure with an acceptable complication rate, These findings should be conside red in the selection of an imaging method for the diagnosis of pulmona ry embolism.