Transient Lingual Ischemia Complicating Coronary Angiography
Emmanouil Skalidis1, Evangelos Zacharis, Michalis Hamilos
1University Hospital of Heraklion, Department of Cardiology, Voutes and Stavrakia, Heraklion, Crete, Greece, 71409. skalides@uoc.gr.
The Journal of Invasive Cardiology
|March 2, 2019
Summary
Arterial embolism is a rare complication of coronary angiography. In this case, transient lingual ischemia was likely caused by vasospasm, not embolism.
Area of Science:
- Cardiology
- Neurology
Background:
- Coronary angiography carries a risk of arterial embolism, potentially affecting various circulations.
- Lingual ischemia, though rare, could theoretically be a consequence.
Observation:
- A patient presented with transient signs and symptoms suggestive of lingual ischemia.
- The clinical presentation was characterized by its temporary nature.
Findings:
- Arterial embolism was considered but deemed less likely due to the transient symptoms.
- Coronary artery vasospasm emerged as the most probable cause of the observed lingual ischemia.
Implications:
- This case highlights the importance of considering vasospasm in the differential diagnosis of transient lingual ischemia following procedures like coronary angiography.
- Understanding the underlying mechanisms is crucial for accurate diagnosis and management of post-procedural complications.
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