{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:46:26Z","timestamp":1767649586637,"version":"3.46.0"},"reference-count":9,"publisher":"BMJ","issue":"6677","license":[{"start":{"date-parts":[[1989,4,1]],"date-time":"1989-04-01T00:00:00Z","timestamp":607392000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1989,4,1]]},"abstract":"<jats:p>OBJECTIVE--To assess the safety and cost benefit of left heart catheterisation by a modified Judkins technique performed as a day patient procedure. DESIGN--Review study of case notes of consecutive patients examined by the procedure over three years (January 1984 to December 1986). SETTING--Outpatient referrals in a regional cardiac centre within a district general hospital. PATIENTS--Nine hundred patients aged 18-76 (mean 54) selected at a previous clinic as suitable for the procedure. MAIN RESULTS--Eight hundred and fifty patients (94.4%) were discharged home on the day of the procedure. Forty others (4.4%) could not be discharged owing to complications during or just after the procedure. Of these patients, two died (0.2%), six suffered a myocardial infarction (0.7%), and two had major vascular complications. The remaining 30 patients were admitted because of chest pain without infarction (10 cases), minor vascular incidents (six), haemorrhage at the puncture site (five), arrhythmia (four), pulmonary oedema (three), and contrast reaction (two). Ten patients were admitted for either urgent coronary artery bypass grafting or social reasons. CONCLUSIONS--Cardiac catheterisation is safe as an outpatient procedure in most cases. Beds are spared and roughly 35,000 pounds is saved for every 500 procedures performed.<\/jats:p>","DOI":"10.1136\/bmj.298.6677.875","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"875-876","source":"Crossref","is-referenced-by-count":26,"title":["Cardiac catheterisation by the Judkins technique as an outpatient procedure."],"prefix":"10.1136","volume":"298","author":[{"given":"K. G.","family":"Oldroyd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. V.","family":"Phadke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. H.","family":"Carson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. A.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1989,4,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/ccd.1810080103","article-title":"Complications associated with cardiac catheterization and angiography","volume":"8","author":"Kennedy, J.W.","year":"1982","unstructured":"Kennedy JW. Complications associated with cardiac catheterization and angiography. Cathet Cardiovasc Diagn 1982;8:5-1 1.","journal-title":"Cathet Cardiovasc Diagn"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1002\/ccd.1810080402","article-title":"Mortality related to cardiac catheterization and angiography","volume":"8","author":"Kennedy, J.W.; Baxley, W.A.; Bunnel, I.L.","year":"1982","unstructured":"Kennedy JW, Baxley WA, Bunnel IL, et al. Mortality related to cardiac catheterization and angiography. Cathet Cardiovasc Diagn 1982;8:323-40.","journal-title":"Cathet Cardiovasc Diagn"},{"key":"ref_3","article-title":"Social Security Welsh Office. Health serice costing returns","author":"Department of Health and","year":"1985","unstructured":"Department of Health and Social Security Welsh Office. Health serice costing returns. HMSO, 1985."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1002\/ccd.1810070407","article-title":"Outpatient cardiac catheterization and coronary angiography","volume":"7","author":"Mahrer, P.R.; Eshoo, N.","year":"1981","unstructured":"Mahrer PR, Eshoo N. Outpatient cardiac catheterization and coronary angiography. Cathet Cardiovasc Diagn 1981;7:355-60.","journal-title":"Cathet Cardiovasc Diagn"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1002\/ccd.1810130504","article-title":"Efficacy and safety of outpatient cardiac catheterization","volume":"13","author":"Mahrer, P.R.; Young, C.; Magnusson, P.T.","year":"1987","unstructured":"Mahrer PR, Young C, Magnusson PT. Efficacy and safety of outpatient cardiac catheterization. Cathet Cardiovasc Diagn 1987;13:304-8.","journal-title":"Cathet Cardiovasc Diagn"},{"key":"ref_6","first-page":"63941","article-title":"Safety of outpatient cardiac catheterizations","volume":"56","author":"Klinke, W.P.; Kubac, G.; Talihbi, T.; Lee, S.J.K.","year":"1985","unstructured":"Klinke WP, Kubac G, Talihbi T, Lee SJK. Safety of outpatient cardiac catheterizations. AmJ Cardiol 1985;56:63941.","journal-title":"AmJ Cardiol"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/ccd.1810100106","article-title":"Outpatient coronary arteriography","volume":"10","author":"Fierens, E.","year":"1984","unstructured":"Fierens E. Outpatient coronary arteriography. Cathet Cardiovasc Diagn 1984;10:27-32.","journal-title":"Cathet Cardiovasc Diagn"},{"key":"ref_8","first-page":"515","article-title":"Planned day case Sones technique cardiac catheterisation","volume":"55","author":"Murray, N.H.; Rothman, M.T.","year":"1986","unstructured":"Murray NH, Rothman MT. Planned day case Sones technique cardiac catheterisation [AbstractJ. BrHeartJ 1986;55:515.","journal-title":"[AbstractJ. BrHeartJ"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/0002-8703(86)90567-3","article-title":"The efficacy of ambulatory cardiac catheterization in the hospital and free-standing setting","volume":"111","author":"Kahn, K.L.","year":"1986","unstructured":"Kahn KL. The efficacy of ambulatory cardiac catheterization in the hospital and free-standing setting. 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