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Related Experiment Video

Updated: Sep 7, 2025

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Intramural Hematoma During a Complex Chronic Total Occlusion Intervention.

Vijay Gupta¹, Cróchán J O'Sullivan^1,2

¹University College Cork School of Medicine, Cork, Ireland.

JACC. Case Reports

|June 23, 2022

Summary

A patient developed an intramural hematoma during percutaneous coronary intervention for a right coronary artery chronic total occlusion. Conservative management led to successful outcomes with patent coronary arteries on follow-up.

Keywords:

CTO, chronic total occlusion DES, drug-eluting stent IVUS, intravascular ultrasound OCT, optical coherence tomography PCI, percutaneous coronary intervention RCA, right coronary artery complication coronary vessel anomaly intravascular ultrasound percutaneous coronary intervention

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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Area of Science:

Cardiology
Interventional Cardiology
Vascular Medicine

Background:

Chronic total occlusions (CTOs) of the coronary arteries present a significant challenge in interventional cardiology.
Percutaneous coronary intervention (PCI) is a common revascularization strategy, but complications can arise.
Intramural hematoma is a rare but serious complication of PCI.

Purpose of the Study:

To report a case of intramural hematoma complicating PCI for a right coronary artery CTO.
To describe the diagnostic approach using intravascular ultrasound (IVUS).
To illustrate successful conservative management of this complication.

Main Methods:

A patient underwent elective PCI for a right coronary artery CTO.
Intravascular ultrasound (IVUS) was utilized to diagnose an intramural hematoma.
Conservative management strategies were employed.

Main Results:

An intramural hematoma was identified as a complication during the PCI procedure.
The complication was managed conservatively without further intervention.
Follow-up angiography confirmed patent coronary arteries and successful treatment of the CTO.

Conclusions:

Intramural hematoma is a recognized complication of PCI for CTOs.
IVUS is valuable in diagnosing intramural hematomas.
Conservative management can be effective for selected cases of PCI-induced intramural hematoma.