Recanalization of Acute Coronary Closure during Cardiopulmonary Resuscitation : Guiding Catheter Induced Embolization during PTCA Procedure.
10.4070/kcj.1995.25.1.97
- Author:
Chang Ho YANG
;
Myung Sik SUNG
;
Moon Beom KIM
;
Gi Won SON
;
Hyun Kuk DO
;
Moo Hyun KIM
;
Young Dae KIM
;
Jong Seong KIM
- Publication Type:Case Report
- Keywords:
Acute closure;
PTCA;
IABP
- MeSH:
Angina, Unstable;
Blood Pressure;
Cardiopulmonary Resuscitation*;
Catheterization;
Catheters*;
Constriction, Pathologic;
Coronary Vessels;
Diabetes Mellitus;
Female;
Heart Arrest;
Humans;
Kidney Failure, Chronic;
Middle Aged;
Resuscitation;
Spasm;
Thrombosis
- From:Korean Circulation Journal
1995;25(1):97-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute coronary closure occurs 2-10% during the procedure of PTCA, 50-80% of those events are in the catheterization room. The causes of acute coronary closure are mainly due to dissection, thrombosis or spasm. We recently experienced a case of acute left main coronary artery closure due to guiding catheter induced embolization in the 56 year-old female, unstable angina patient complicated by diabetes mellitus and chronic renal failure. The patient received cardiopulmonary resuscitation shortly after acute closure because of cardiac arrest. During the resuscitation, we performed PTCA at the site of acute closure. The blood pressure maintained normaly after successful recanalization. And then we inserted IABP(intraaortic balloon pump) balloon and did PTCA of original stenosis sites. The patient removed IABP 24 hours later and discharged a month later without complication.
