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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| diagnostic cardiac catheterization | Active Comparator | patients with diagnostic cardiac catheterization |
|
| therapeutic cardiac catheterization | Active Comparator | patient with angioplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| diagnostic cardiac catheterization | Procedure | coronary intervention: angiography |
|
| Measure | Description | Time Frame |
|---|---|---|
| retinal emboli | retinal emboli detected by retinal especialist by direct examination |
| Measure | Description | Time Frame |
|---|---|---|
| visual field | visual field detected by ophthalmologist | |
| visual acuity | snellen chart by ophthalmologist |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| shiraz University of medical sciences | Shiraz | Fars | 55318 | Iran |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21255443 | Derived | Kojuri J, Mehdizadeh M, Rostami H, Shahidian D. Clinical significance of retinal emboli during diagnostic and therapeutic cardiac catheterization in patients with coronary artery disease. BMC Cardiovasc Disord. 2011 Jan 21;11:5. doi: 10.1186/1471-2261-11-5. |
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| ID | Term |
|---|---|
| D004617 | Embolism |
| D003324 | Coronary Artery Disease |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D003327 | Coronary Disease |
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| therapeutic cardiac catheterization | Procedure | cardiac catheterization: angioplasty |
|
| D017202 |
| Myocardial Ischemia |
| D006331 | Heart Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |