Table 1

Categorisation of risk stages of procedures performed in cardiac catheterisation laboratory

Risk category 1Risk category 2Risk category 3Risk category 4
Primary PCIVascular accessCatheter exchange
Contrast delivery
Critical time to open artery
Balloon inflation and stent delivery
Cardiac arrest
Pericardial tamponade
Life-threatening bleed
Elective angioplastyVascular accessCatheter exchangeBalloon inflation and stent deliveryCardiac arrest
Pericardial tamponade
Life-threatening bleed
CRTVascular access
Wound closure
RV/RA lead placement
Access to coronary sinus
Placement of LV lead/removal of delivery sheathCardiac arrest
Pericardial tamponade
Life-threatening bleed
EPS/AblationVascular accessCatheter placement
Catheter exchange
Ablation catheter
Signal analysis
Transeptal puncture
Cardiac arrest
Pericardial tamponade
Life-threatening bleed
Diagnostic angiogramVascular accessCatheter exchange
Contrast delivery
Cardiac arrest
Pericardial tamponade
Life-threatening bleed
Bradycardic PPM or ICDVascular access
Wound closure
RV/RA lead placementCardiac arrest
Pericardial tamponade
Life-threatening bleed
  • CRT, cardiac resynchronisation therapy device implantation; EPS, electrophysiological studies; ICD, implantable cardioverter defibrillator implantation; LV, left ventricular; PCI, percutaneous coronary intervention; PPM, permanent pacemaker implantation; RA, right atrial; RV, right ventricular.