학술논문
Embolisation of the Coronary Arterial Tree with Thick Contrast Material during Coronary Angiography
CASE REPORT
CASE REPORT
Document Type
Clinical report
Author
Source
Journal of the College of Physicians and Surgeons Pakistan. April 2021, Vol. 31 Issue 4, p466, 3 p.
Subject
Language
English
ISSN
1022-386X
Abstract
INTRODUCTION Coronary angiography is the gold standard test for identifying the presence and extent of atherosclerotic coronary artery disease (CAD) in patients presenting with acute coronary syndrome (ACS) as with [...]
A 58-year male was referred to our centre with an acute inferior ST elevation myocardial infarction (STEMI). During the primary percutaneous coronary intervention, he suddenly collapsed with severe hypotension and severe bradycardia. The symptoms were attributed to an accidental embolisation of his left coronary system with the thick contrast material. When the remaining contrast in the bottle was investigated, it contained abnormally thick contrast material. This is a rare case of contrast embolisation, which is completely preventable but fatal, if undetected. Key Words: Coronary angiography, Contrast material, Contrast embolisation.
A 58-year male was referred to our centre with an acute inferior ST elevation myocardial infarction (STEMI). During the primary percutaneous coronary intervention, he suddenly collapsed with severe hypotension and severe bradycardia. The symptoms were attributed to an accidental embolisation of his left coronary system with the thick contrast material. When the remaining contrast in the bottle was investigated, it contained abnormally thick contrast material. This is a rare case of contrast embolisation, which is completely preventable but fatal, if undetected. Key Words: Coronary angiography, Contrast material, Contrast embolisation.