Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose.
Kfier KubaDiana WolfeAlan H SchoenfeldAnna E BortnickPublished in: Case reports in obstetrics and gynecology (2019)
There is a gap in the literature regarding fetal radiation exposure from interventional cardiac procedures. With an increasingly large and complex cohort of pregnant cardiac patients, it is necessary to evaluate the safety of invasive cardiac procedures and interventions in this population. Here we present a case of a patient with multiple medical comorbidities and non-ST elevation myocardial infarction (NSTEMI) at 15 weeks' gestation, managed with percutaneous coronary intervention (PCI). We were able to minimize the maternal and estimated fetal absorbed radiation dose to <1 milliGray (mGy), significantly less than the threshold dose for fetal adverse effects at this gestational age.
Keyphrases
- percutaneous coronary intervention
- st elevation myocardial infarction
- gestational age
- birth weight
- st segment elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- coronary artery disease
- preterm birth
- antiplatelet therapy
- coronary artery bypass grafting
- left ventricular
- end stage renal disease
- systematic review
- atrial fibrillation
- ejection fraction
- healthcare
- chronic kidney disease
- newly diagnosed
- preterm infants
- pregnancy outcomes
- heart failure
- physical activity
- prognostic factors
- case report