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Complications of chronic total occlusion percutaneous coronary intervention: Subepicardial hematoma.

07:00 EST 30th December 2017 | BioPortfolio

Summary of "Complications of chronic total occlusion percutaneous coronary intervention: Subepicardial hematoma."

A 67-year-old man with coronary artery disease and previous coronary underwent successful Guideliner reverse CART percutaneous coronary intervention of a chronic total occlusion of the right coronary artery. He later developed evidence of myocardial ischemia, and imaging, including angiogram, echocardiogram, and cardiac computed tomography revealing active dye extravasation from the previously normal RV marginal branches, in addition to a large subepicardial hematoma. Despite these dramatic findings, the patient remained hemodynamically stable and pain-free, with resolving ECG changes. Thus, with close clinical observation, the patient did not undergo pericardiocentesis or other invasive procedures, and was discharged home safely. This review evaluates the complications of CTO-PCI, with a focus on subepicardial hematomas, discussing diagnosis and management of this highly morbid complication.

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This article was published in the following journal.

Name: Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
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