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March 24, 1993

Second-Opinion Trial in Patients Recommended for Coronary Angiography

Author Affiliations

The New York (NY) Hospital Cornell Medical Center

JAMA. 1993;269(12):1504. doi:10.1001/jama.1993.03500120041014

To the Editor.  —The recent study by Graboys et al1 regarding the prevalence of unnecessary coronary angiography is a timely one. Last month, three cases appeared in the literature of a complication following femoral vessel catheterization for angiographic procedures: delayed-onset femoral nerve palsy secondary to iliac hematoma.2,3 The result was severe quadriceps paresis with long-term impairment. The risk of local complication is worth noting when discussing the overall necessity of this procedure, especially in patients without coagulation.