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Updated: Feb 27, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Contrast-induced thrombocytopenia following percutaneous coronary intervention
Roberto Muniz Ferreira1,2, João Mansur Filho1, Paolo Blanco Villela1,2
1Cardiology Department, Samaritano Hospital, Rio de Janeiro, RJ, Brazil.
Abstract:
Contrast-induced thrombocytopenia is a rare complication distinguished by acute and severe platelet consumption, with spontaneous recovery within days. We describe a case of acute thrombocytopenia 6 hours after coronary angioplasty in a patient with a negative antiplatelet factor 4 test. The count reached 1 × 103/µL, but improved spontaneously to 210 × 103/µL after 8 days. In conclusion, physicians should be aware of this complication, particularly when dual antiplatelet therapy is being considered.
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