Complications

Clinical Images

Successful Retrieval of Ruptured Stent Balloon Catheter During Percutaneous Coronary Intervention

03/13/2024

Byeng-Ju Son, MD; Jong-Seon Park, MD, PhD;Ung Kim, MD, PhD; Kang-Un Choi, MD, PhD; Jong-Il Park, MD

Byeng-Ju Son, MD; Jong-Seon Park, MD,...

An 82-year-old woman was admitted for non-ST elevation myocardial infarction. At the coronary angiography, diffuse significant stenosis of the right coronary artery was observed.

An 82-year-old woman was...

03/13/2024

Journal of Invasive Cardiology

Unusual Gastric Contrast Extravasation After Coronary Angiography

06/01/2021

Mandeep Singh Randhawa , MD;

Tim A. Fischell , MD, FACC, FSCAI;

This represents an unusual case in which fluoroscopy revealed active gastric bleeding with contrast extravasation during coronary angiography.

This represents an unusual case...

06/01/2021

Journal of Invasive Cardiology

Suggested Technique

A Novel Approach for Percutaneous Retrieval of an Entrapped, Broken Balloon Catheter During Primary Percutaneous Coronary Intervention

05/11/2020

Nadim Shah , MBChB, DMedSci, FRACP;

Ayman Al-Sibaie , MD, PhD;

Sam Benny , BSc;

Mohamed Aboalela Elberry , MBBS;

Geili Abdalla , MBBS, MD;

Fahad Baslaib , MD;

Balloons are often used to measure the length of lesions to estimate lesion length and hence, choose appropriately sized stents. This practice is usually performed without complication.

Balloons are often used to...

05/11/2020

Cath Lab Digest

Quality Improvement

Incorporating the DyeVert System Into Focused Protocols: A Hard Stop for Contrast-Induced Acute Kidney Injury

09/05/2019

Barry D. Bertolet , MD;

Carla Durham , RN;

At North Mississippi Medical Center, we use 1.5x GFR to determine the maximum contrast threshold.

At North Mississippi Medical...

09/05/2019

Cath Lab Digest

Complicated Hematoma After Transradial Catheterization

07/23/2019

Gabriel Sanchez-Fernandez , MD;

Manuel Lopez-Perez , MD;

This case, which almost ended in a compartment syndrome, is an extremely uncommon complication of transradial catheterization, with a described incidence around 0.125%.

This case, which almost ended in...

07/23/2019

Journal of Invasive Cardiology

Case Report

Treating a Rare Delayed Iatrogenic Mid Femoral Pseudoaneurysm After Chronic Total Occlusion Revascularization

07/08/2019

Hamza Malik , DO;

Farhan Ali , MD, MA, MPH, FSCAI, FACC, RPVI;

Mark Chou , DO;

Arterial pseudoaneurysms or “contained ruptures,” are rare complications of endovascular procedures.1 Arterial pseudoaneurysms are characterized by a defect in the layers of the vessel wall that can result in severe pain, nerve compression,...

Arterial pseudoaneurysms or...

07/08/2019

Cath Lab Digest

Case Report

Coronary Perforation Successfully Treated by Microcoil Embolization

06/07/2019

Samir Kammoun , MD, PhD;

Amine Bahloul , MD;

Hela Sarray , MD;

Yassmine Kammoun , MD;

Tarek Ellouz , MD;

Mourad Hentati , MD, PhD;

Leila Abid , MD, PhD;

Coronary perforation (CP) occurs in 2-8% of percutaneous coronary interventions.1-3 It is a rare but potentially fatal complication, should tamponade occur. The diagnosis is easily made by the extravasation of contrast agent from the damaged...

Coronary perforation (CP) occurs...

06/07/2019

Cath Lab Digest

A Hydrophilic-Wire Induced Vascular Perforation Causing Mediastinal Hematoma During Transradial Coronary Intervention

04/24/2019

Jincheng Guo , MD;

Jiahui Song , MD;

This is the first reported case of evidence of a hydrophilic wire traveling into a small branch and inducing perforation; this case highlights the need for fluoroscopically guided hydrophilic wire manipulation.

This is the first reported case...

04/24/2019

Journal of Invasive Cardiology

Suggested Technique

Management of a Balloon Shaft Fracture During Subintimal Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Due to In-stent Restenosis

11/04/2018

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Judit Karacsonyi , MD, PhD;

Imre Ungi , MD, PhD;

Viktor Sasi , MD;

Balloon shaft fracture can potentially have serious consequences, such as embolization, urgent surgery, or even death.

Balloon shaft fracture can...