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Complications in Interventional Cardiology

In this New section you will find clinical cases related to Complications provided by experts in interventional cardiology and learn how to recognise, anticipate and treat most frequent coronary complications. This section focuses on complications in Coronary interventions, Valvular interventions, interventions for Heart Failure, Stroke interventions, Interventions for hypertension and Peripheral interventions.

The aim is to engage in this effort at designing a unique resource that colleagues from the interventional community will be able to rely on to prevent, diagnose and treat complications. The case studies are often divided into three parts namely:

  • Part I - Emergency management (How to treat)
  • Part II - Educative learning (People want to learn)
  • Part II - Case library

Your comments are welcome! Use this section to share YOUR experience and/or questions with your peers. Please remember to log into your account to read or make any comments or contributions.

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11 results

Case study: distal perforation coils Type V perforation

08 Jun 2017

Consult this case study on using distal perforation coils, a 76-year-old male patient with dyslipidemia and hypertension.

Case study: a calcified LAD Type III perforation

06 Jun 2017

Consult this case study on a calcified LAD Type III perforation, male 79-year old patient.

How to treat emergency coronary perforation

Perforations can be life threating complications, but if recognised quickly and managed correctly can have a positive outcome. This section explains how to treat a coronary perforation.
In total there are 5 types.

Case study: reversing heparin Type V perforation

04 May 2017

Consult this case study on reversing heparin in a Type V coronary perforation complication, a female 76-year old patient.

Case study: thrombin injection Type V perforation

04 May 2017

Consult this case study on a thrombin injection Type IV perforation, a male 76-year old patient.

Emergency management - Type I: Epicardial segment

A Type I coronary perforation is angiographical similar to a Type C coronary dissection and reflects the notion that a continuum exists between dissection and perforation.

Treatment of a Type I coronary perforation:

Emergency management - Type II: Epicardial segment

A Type II perforation is similar to Type I in terms of management, but is associated with a higher risk of progression to Type III. Myocardial blushing is considered to be lower risk than pericardial fat staining.

Emergency management - Type III

Type III coronary perforation is the most serious perforation and expedient management is crucial in order to preserve life.

Emergency management - Type IV: Epicardial segment

A Type IV coronary perforation involves a leak into another cardiovascular cavity / cavity spilling.

Emergency management - Type V: Distal segment

Type V coronary perforation takes a look at perforation of the distal segment due to coronary guidewire tip exiting the coronary artery distally.