Titlebook: Complications of Percutaneous Coronary Interventions; Samuel M. Butman (Associate Professor of Medicine) Book 2005 Springer-Verlag New Yor

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Complications of Percutaneous Coronary Interventions

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Complications of Percutaneous Coronary Interventions978-0-387-29301-1

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Comparing Multiple Proportions,ately, this can be easily offset when an unexpected complication occurs during a seemingly straightforward intervention, necessitating additional and unplanned interventions to avert disaster (.). This is the reality of day-to-day percutaneous coronary interventions performed, on average, in 25% of

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Michael O. Finkelstein,Bruce Levinht femoral artery. Four days after the procedure, the patient developed swelling and pain in the right groin. Physical examination revealed a 5 × 5-cm pulsatile, tender mass in the right groin at the femoral access site. Ultrasound confirmed the presence of a larger femoral pseudoaneurysm (., see co

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Comparing Multiple Proportions,iography. The angiogram demonstrated a high-grade stenosis of the left anterior descending artery (.). Percutaneous transluminal coronary angioplasty (PTCA) was attempted using a 2.5 × 15-mm Maverick-2 coronary angioplasty balloon (Boston Scientific, Natick, MA) over a Whisper 0.014″/190-cm coronary

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Comparing Multiple Proportions,ere an abnormal nuclear stress study had revealed inferior wall ischemia (.). The coronary intervention was performed using a 7 French Judkins right guiding catheter with predilatation of the area, followed by subsequent stent implantation of a 4.0 = 18-mm stent (.). An additional inflation was perf

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Michael O. Finkelstein,Bruce Levinphy showed minor obstructive disease in the left coronary system and a 100% thrombotic occlusion in the mid segment of a large right coronary artery (.). After one inflation with a 3.0 × 15-mm balloon a severe stenosis was apparent (.), and the patient became profoundly bradycardic and hypotensive.

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Comparing Multiple Proportions,theterization laboratory and antegrade contrast injection via the contralateral access identified the location of the bleeding (., arrow). After the advancement of the stiff-angled guidewire and the insertion of a crossover sheath, balloon inflation was performed across the extravasation site (.). A