Clinical Significance of Retinal Emboli During Diagnostic and Therapeutic Cardiac Catheterization
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Cardiac Catheterization Retina Embolism |
Procedure: diagnostic cardiac catheterization Procedure: therapeutic cardiac catheterization |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Clinical Significance of Retinal Emboli During Diagnostic and Therapeutic Cardiac Catheterization |
- retinal emboli [ Designated as safety issue: Yes ]retinal emboli detected by retinal especialist by direct examination
- visual field [ Designated as safety issue: Yes ]visual field detected by ophthalmologist
- visual acuity [ Designated as safety issue: Yes ]snellen chart by ophthalmologist
| Enrollment: | 300 |
| Study Start Date: | October 2009 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: diagnostic cardiac catheterization
patients with diagnostic cardiac catheterization
|
Procedure: diagnostic cardiac catheterization
coronary intervention: angiography
|
|
Active Comparator: therapeutic cardiac catheterization
patient with angioplasty
|
Procedure: therapeutic cardiac catheterization
cardiac catheterization: angioplasty
|
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.
Eligibility| Ages Eligible for Study: | 52 Years to 68 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and Locations
More Information
No publications provided by Shiraz University of Medical Sciences
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dr Javad Kojuri, Shiraz University of medical sciences |
| ClinicalTrials.gov Identifier: | NCT01157338 History of Changes |
| Other Study ID Numbers: | 1123 |
| Study First Received: | July 6, 2010 |
| Last Updated: | July 6, 2010 |
| Health Authority: | Iran: National health institute |
Keywords provided by Shiraz University of Medical Sciences:
|
Catheter coronary artery disease embolus stroke retinal emboli |
Additional relevant MeSH terms:
|
Embolism Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013