학술논문
Successful management of coronary complications during percutaneous intervention: A case report.
Document Type
Report
Author
Shaikh GA; Department of Cardiology, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan.; Babar AB; Hamdard College of Medicine And Dentistry, Karachi, Sindh, Pakistan.; Yaqoob S; Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan.; Rohail S; Karachi Medical and Dental College, Karachi, Sindh, Pakistan.; Uddin N; Dow University of Health Sciences, Karachi, Pakistan.; Khan MK; Dow University of Health Sciences, Karachi, Pakistan.; Sam SJ; Dow University of Health Sciences, Karachi, Pakistan.; Zafar NUH; Dow University of Health Sciences, Karachi, Pakistan.; Shah HH; Dow University of Health Sciences, Karachi, Pakistan.; Lashari MN; Department of Cardiology, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan.
Source
Publisher: SAGE Publications Country of Publication: England NLM ID: 101638686 Publication Model: eCollection Cited Medium: Print ISSN: 2050-313X (Print) Linking ISSN: 2050313X NLM ISO Abbreviation: SAGE Open Med Case Rep Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2050-313X
Abstract
This case report delineates the complex management of a 65-year-old female with established diabetes, hypertension, and ischemic heart disease, who presented with refractory angina despite comprehensive medical management. Coronary angiography identified significant pathology in the right coronary artery alongside a previously placed, functioning stent in the left anterior descending artery. The intervention was complicated by the occurrence of a type B coronary artery dissection and a type III coronary perforation during an attempt to extract a stent. Immediate remedial measures, including balloon inflation and the placement of drug-eluting stents, were undertaken. The patient underwent a transient episode of collapse, from which she was successfully resuscitated. The concluding angiographic assessment confirmed the effective dilation of the lesion with no remaining dissection or perforation. This case accentuates the infrequent yet critical complications that can arise during percutaneous coronary intervention.
Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2024.)
Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2024.)