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Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

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The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
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Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
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Unusual Gastric Contrast Extravasation After Coronary Angiography.

Mandeep Singh Randhawa1, Tim A Fischell

  • 1Ascension Borgess Hospital/Michigan State University, 1717 Shaffer Street, Kalamazoo, MI 49048 USA. mandeep_singhrandhawa@yahoo.co.in.

The Journal of Invasive Cardiology
|June 5, 2021
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Summary

An unusual case of active gastric bleeding was discovered during coronary angiography in a 79-year-old woman with heart failure. Fluoroscopy showed contrast extravasation into the stomach, indicating a rare complication during the procedure.

Keywords:
complicationscontrast extravasationcoronary angiographyheart failure

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Area of Science:

  • Cardiology
  • Gastroenterology
  • Medical Imaging

Background:

  • A 79-year-old woman presented with new-onset heart failure, pleural effusion, pericardial effusion, and reduced ejection fraction (35%).
  • Coronary angiography was performed to evaluate for coronary artery disease (CAD).

Observation:

  • Mild coronary artery disease (CAD) was identified.
  • Unexplained contrast extravasation was noted in the cranial view during angiography.
  • The patient remained tachycardic with borderline low blood pressure despite medical management of CAD.

Findings:

  • Further investigation and testing confirmed contrast clearance from the stomach.
  • Fluoroscopy during coronary angiography revealed active gastric bleeding with contrast extravasation into the stomach.

Implications:

  • This case highlights an extremely rare complication of active gastric bleeding during coronary angiography.
  • It underscores the importance of recognizing and investigating unexpected findings during invasive cardiovascular procedures.
  • Such events may necessitate a multidisciplinary approach involving cardiology and gastroenterology for diagnosis and management.