12. Risk of Angiography

What about angiography? Should I get prophylactic angiography to see if the patient is at risk? Angiography has risk of contrast nephropathy, hemorrhage, coronary perforation, death. It costs something and should only be done if medically indicated and you plan to do something with the results.

Risk of Angiography

	Contrast nephropathy: (2.8%) women (0.9%) men (odds ratio 3.3, 95% CI 1.3 to 8.2, P=0.01). Mueller C, Buerkle G, Perruchoud AP, Buettner HJ. Can J Cardiol. 2004 Apr;20(5):505-9.
	Hemorrhage
	Coronary perforation 1% Fukutomi et. al. Circ J. 2002 Apr;66(4):349-56
	Death

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