Complications in Interventional Cardiology

In this section you will find clinical cases related to Complications provided by experts in interventional cardiology and learn how to recognise, anticipate and treat most frequent coronary complications. The aim is to engage in this effort at designing a unique resource that colleagues from the interventional community will be able to rely on to prevent, diagnose and treat complications. The case studies are often divided into three parts namely:

  • Part I - Emergency management (How to treat)
  • Part II - Educative learning (People want to learn)
  • Part II - Case library

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12 results

Coronary perforation - Post-procedural care

Once the coronary perforation has been treated there is still a risk of mortality and close surveillance is required during the first 24 hours.

Case study: distal perforation coils Type V perforation

08 Jun 2017

Consult this case study on using distal perforation coils, a 76-year-old male patient with dyslipidemia and hypertension.

Case study: a calcified LAD Type III perforation

06 Jun 2017

Consult this case study on a calcified LAD Type III perforation, male 79-year old patient.

Case study: reversing heparin Type V perforation

04 May 2017

Consult this case study on reversing heparin in a Type V coronary perforation complication, a female 76-year old patient.

Case study: thrombin injection Type V perforation

04 May 2017

Consult this case study on a thrombin injection Type IV perforation, a male 76-year old patient.

Case study: a SVG to RCA Type IV perforation

01 May 2017

Consult this case study on a saphenous vein graft (SVG) to right coronary artery (RCA) Type IV perforation, female 80-year old patient referred for angiogram +/- PCI.

Emergency management - Type I: Epicardial segment

A Type I coronary perforation is angiographical similar to a Type C coronary dissection and reflects the notion that a continuum exists between dissection and perforation.

Treatment of a Type I coronary perforation:

Case study: a Ramus Type III perforation

02 Feb 2017

Consult this case study on a Ramus Type III perforation, female 80-year old patient.

Emergency management - Type II: Epicardial segment

A Type II perforation is similar to Type I in terms of management, but is associated with a higher risk of progression to Type III. Myocardial blushing is considered to be lower risk than pericardial fat staining.

Emergency management - Type III

Type III coronary perforation is the most serious perforation and expedient management is crucial in order to preserve life.