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Vertebral Artery Perforation as a Periprocedural Complication of Coronary Angiography

Wael Zaher1, Nicolas Brassart2, Michael De Cubber1

  • 1Department of Cardiology, EpiCURA Hospital, Hornu, Belgium.

JACC. Case Reports
|June 23, 2022
PubMed

Insights

Coronary angiography can rarely cause vertebral artery perforation. This unique case demonstrates successful endovascular treatment for this rare complication, highlighting advanced interventional techniques.

Area of Science:

  • Cardiology
  • Interventional Radiology
  • Vascular Surgery

Background:

  • Coronary angiography is a common diagnostic procedure.
  • Radial artery catheterization is the preferred approach for coronary angiography.
  • Vascular complications, though rare, can occur during these interventions.

Observation:

  • A unique case of right vertebral artery perforation occurred after coronary angiography.
  • The perforation was identified as a complication of the catheterization procedure.

Findings:

  • The vertebral artery perforation was successfully managed using endovascular techniques.
  • This case highlights the feasibility of endovascular repair for arterial perforations during angiography.

Implications:

  • Endovascular management offers a viable treatment option for rare arterial injuries during coronary angiography.
  • This approach may help avoid more invasive surgical interventions.
  • Further research into preventative strategies and optimal management of such complications is warranted.

Keywords:
LVIS, Low-Profile Visualized Intraluminal SupportPCI, percutaneous coronary interventioncomplicationcoronary angiographypercutaneous coronary interventionstentsvascular disease

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