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Transient cortical blindness after coronary artery angiography

Michał Terlecki1, Wiktoria Wojciechowska1, Marek Rajzer1

  • 11 Department of Cardiology and Hypertension, Jagiellonian University Medical College, Krakow, Poland.

Postepy W Kardiologii Interwencyjnej = Advances in Interventional Cardiology
|February 27, 2014
PubMed

Insights

Transient cortical blindness is a rare complication following coronary angiography. This case highlights a potential neurotoxic effect of X-ray contrast media, with symptoms resolving quickly.

Area of Science:

  • Cardiology
  • Neurology
  • Ophthalmology

Background:

  • Coronary angiography is standard for diagnosing ischemic heart disease, with high procedure volumes.
  • Cerebral complications like stroke are rare after coronary procedures.
  • Transient cortical blindness is an uncommon complication, typically associated with cerebral angiography.

Observation:

  • A 32-year-old man with ventricular arrhythmias and reduced ejection fraction underwent coronary angiography.
  • The patient experienced transient cortical blindness immediately post-procedure.
  • No arterial lesions were identified, and neurological/ophthalmological exams were normal.

Findings:

  • Transient cortical blindness occurred directly after coronary angiography.
  • The event is potentially linked to the neurotoxic effects of X-ray contrast media.
  • Complete visual recovery was observed within hours.

Implications:

  • This case underscores the rare but possible neurotoxicity of contrast agents used in coronary angiography.
  • Prompt recognition and monitoring are crucial for managing this adverse event.
  • Further research may clarify the mechanisms and risk factors for contrast-induced neurotoxicity.

Keywords:
contrast mediacoronary angiographycortical blindness

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