Hypotension induced coronary spasm: A vascular access complication

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Presentation transcript:

Hypotension induced coronary spasm: A vascular access complication Abhijit Kulkarni, S.S. Prakash, C.N. Manjunath Journal of Indian College of Cardiology Volume 4, Issue 1, Pages 47-49 (March 2014) DOI: 10.1016/j.jicc.2013.11.004 Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 1 Baseline Angiogram showing Proximal LAD stenosis. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 2 Result after Angioplasty with DES. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 3 Check angiogram after hypotension showing spasm distal to stent. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 4 Persisting spasm after Nitroglycerin. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 5 Spasm relief after correction of hypotension. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 6 Sheath angiogram showing leak from arterial access. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions

Fig. 7 Arterial access leak into subcutaneous tissue. Journal of Indian College of Cardiology 2014 4, 47-49DOI: (10.1016/j.jicc.2013.11.004) Copyright © 2013 Indian College of Cardiology Terms and Conditions