Korean Circ J.  1995 Feb;25(1):97-101. 10.4070/kcj.1995.25.1.97.

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

• Yang CH
• Sung MS
• Kim MB
• Son GW
• Do HK
• Kim MH
• Kim YD
• Kim JS

• KMID: 2228962
• DOI: http://doi.org/10.4070/kcj.1995.25.1.97

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.

Keyword

Acute closure; PTCA; IABP

MeSH Terms

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