Embolisation of the Coronary Arterial Tree with Thick Contrast Material during Coronary Angiography.

J Coll Physicians Surg Pak

Department of Cardiology, Ministry of National Guard Health Affair, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, COM-WR. Jeddah, Saudi Arabia.

Published: April 2021

AI Article Synopsis

  • A 58-year-old man experienced an acute inferior ST elevation myocardial infarction (STEMI) and was referred for urgent treatment.
  • During his procedure, he collapsed due to severe hypotension and bradycardia, leading to the discovery that thick contrast material had accidentally embolized his left coronary system.
  • This incident highlights a rare but preventable condition known as contrast embolisation, which can be fatal if not detected promptly.

Article Abstract

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.

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Source
http://dx.doi.org/10.29271/jcpsp.2021.04.466DOI Listing

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