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Hypotension induced coronary spasm: A vascular access complication

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Presentation on theme: "Hypotension induced coronary spasm: A vascular access complication"— Presentation transcript:

1 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 (March 2014) DOI: /j.jicc Copyright © 2013 Indian College of Cardiology Terms and Conditions

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

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

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

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

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

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

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

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