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Updated: Oct 19, 2025

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Elective percutaneous coronary intervention performed during contrast-induced hypotension
Armaghan Y Soomro1, Nureddin Almaddah1, Vasili Lendel2
1University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Objectives:
To demonstrate the feasibility and safety of performing elective percutaneous coronary intervention (PCI) during contrast reaction producing severe hypotension.
Background:
The development of profound hypotension due to a contrast reaction requires emergency treatment and usually signals procedure termination.
Methods And Results:
We report successful completion of planned PCI with blood pressure support with vasopressors during contrast-induced hypotension in nine procedures in three patients with previously known contrast reaction causing hypotension.
Conclusions:
This case series provides support for the feasibility and safety of performing successful planned PCI under blood pressure support in patients with contrast reaction causing severe hypotension. A management approach for considering intervention in the setting of contrast-induced hypotension is provided.
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