Journal List > Korean Circ J > v.25(1) > 1073206

TOOLS
Yang, Sung, Kim, Son, Do, Kim, Kim, and Kim: Recanalization of Acute Coronary Closure during Cardiopulmonary Resuscitation : Guiding Catheter Induced Embolization during PTCA Procedure
Case Report
Korean Circulation Journal

Korean Circulation Journal 1995; 25(1): 97-101.

Published online: 28 February 1995

DOI: https://doi.org/10.4070/kcj.1995.25.1.97

Recanalization of Acute Coronary Closure during Cardiopulmonary Resuscitation : Guiding Catheter Induced Embolization during PTCA Procedure

Chang Ho Yang, M.D., Myung Sik Sung, M.D., Moon Beom Kim, M.D., Gi Won Son, M.D., Hyun Kuk Do, M.D., Moo Hyun Kim, M.D., Young Dae Kim, M.D., Jong Seong Kim, M.D.

Copyright © 1995 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Acute closure, PTCA, IABP

TOOLS
Similar articles