Acute left anterior descending artery occlusion after IVUS leading to urgent percutaneous coronary intervention complicated with coronary perforation: Case report.
Kevin Velarde-AcostaJosh Yefry Moscoso RamirezPaol RojasRoberto Baltodano-ArellanoPublished in: JRSM cardiovascular disease (2024)
IVUS, although a very useful imaging tool before and during PCI, is not without risk. The overall rate of complications with certain or possible relation to IVUS is 3.9%. Vascular spasm is the most frequent complication and acute vascular occlusion, with the need for emergency coronary artery by-pass grafting, the least frequent. On the other hand, IVUS can predict the risk of developing other complications, such as coronary perforation, by means of the C-CAT sign. Knowledge of the possible complications during PCI and the rapid procedure of the hemodynamic team allows adequate management of these potentially fatal complications.
Keyphrases
- coronary artery
- coronary artery disease
- percutaneous coronary intervention
- acute myocardial infarction
- acute coronary syndrome
- st segment elevation myocardial infarction
- liver failure
- risk factors
- case report
- st elevation myocardial infarction
- antiplatelet therapy
- pulmonary artery
- coronary artery bypass grafting
- healthcare
- respiratory failure
- high resolution
- emergency department
- atrial fibrillation
- palliative care
- drug induced
- heart failure
- aortic dissection
- minimally invasive
- aortic valve
- breast reconstruction