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Acute Vessel Closure in Rescue PCI

A. Shaheer Ahmed, MD and Tushar Agarwal, MD

Introduction

Video supplement to “Acute Vessel Closure in Rescue Percutaneous Coronary Intervention” by Ahmed and Agarwal. (September 2021 Clinical Images).

The following angiography series demonstrates the diagnosis and treatment of guidewire-induced coronary spasm, which may be life threatening. Balloon dilation might worsen the situation by enhancing the spasm. Prompt recognition and generous administration of coronary vasodilators are the mainstay of management. 

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Supplemental Video