[Central retinal artery occlusion secondary to brachial cineangiocoronography: case report]

Augusto Nakashima1, Alan Diego Negretto, Alexandre Antonio Marques Rosa

  • 1Faculdade de Medicina, Universidade de São Paulo, and Clínica Oftalmológica do Hospital das Clínicas, São Paulo, SP, Brazil.

Insights

A patient with coronary insufficiency experienced central retinal artery occlusion after cardiac catheterization. This case highlights the risk of embolic events following the procedure.

Area of Science:

  • Cardiology
  • Ophthalmology
  • Vascular Medicine

Background:

  • Coronary insufficiency is a condition characterized by reduced blood flow to the heart muscle.
  • Cardiac catheterization and cineangiocoronography are diagnostic procedures used to assess heart conditions.
  • Central retinal artery occlusion (CRAO) is a serious condition causing sudden vision loss.

Observation:

  • A patient with coronary insufficiency underwent cardiac catheterization via the brachial artery.
  • Following the procedure, the patient developed central retinal artery occlusion.

Findings:

  • The case suggests a potential link between cardiac catheterization/cineangiocoronography and embolic phenomena.
  • Embolic events, such as those leading to CRAO, can be a complication of arterial procedures.

Implications:

  • Healthcare providers should be aware of the risk of embolic complications after cardiac catheterization.
  • Further research may be warranted to explore preventative strategies for embolic events during these procedures.
  • This case underscores the importance of monitoring for neurological and ophthalmological complications post-cardiac procedures.