Coronary intramural hematoma: Challenges in diagnosis and management
Authors:
Open Access
- 1 January 2019
- journal article
- case report
- Published by Medknow in Heart Views
- Vol. 20 (1) , 17-20
Abstract
Coronary intramural hematoma (CIH) after percutaneous coronary intervention (PCI) is a rare cause of acute coronary syndrome. As the diagnosis is really challenging, its incidence is really under estimated. The optimal management of post-PCI CIH has not been well defined. Conventional coronary angiography alone is often insufficient to identify a CIH. Intravascular ultrasound and optical coherence tomography (OCT) are helpful modalities for diagnosis and evaluation of its extension. We present a case of CIH after PCI, highlighting our experience in the diagnostic accuracy of OCT and our strategy in the management of this case.Keywords
This publication has 8 references indexed in Scilit:
- Extension of a Coronary Intramural Hematoma as a Complication of Early Percutaneous Coronary Intervention after Thrombolytic TherapyCase Reports in Medicine, 2013
- Drug eluting stents trapping intramural hematoma in spontaneous coronary artery dissection and healing pattern at six months: Optical coherence tomography findingsCardiovascular Revascularization Medicine, 2013
- Spontaneous Multivessel Coronary Intramural HematomaJACC: Cardiovascular Imaging, 2012
- Spontaneous Coronary Artery DissectionCirculation, 2012
- Spontaneous Coronary Artery DissectionCirculation: Cardiovascular Interventions, 2011
- Intramural Hematoma Appearing as a New Lesion After Coronary StentingJACC: Cardiovascular Interventions, 2011
- Acute Coronary Syndrome due to Intramural HematomaCirculation, 2006
- Incidence, Morphology, Angiographic Findings, and Outcomes of Intramural Hematomas After Percutaneous Coronary InterventionsCirculation, 2002