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A Case of Late Cardiac Tamponade After a Complex Percutaneous Coronary Intervention

Rotational atherectomy (RA) is an endovascular procedure to ablate calcified plaque and is an integral tool for complex percutaneous coronary intervention (PCI). Rotational atherectomy increases the risk of periprocedural complications. One of the major complications of RA is coronary perforation, w...

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Detalles Bibliográficos
Autores principales: Tahir, Fahad B, Zulfiqar, Sualeha, Rana, Muhammad Umair, Haroon, Fawad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505407/
https://www.ncbi.nlm.nih.gov/pubmed/37724201
http://dx.doi.org/10.7759/cureus.43700
Descripción
Sumario:Rotational atherectomy (RA) is an endovascular procedure to ablate calcified plaque and is an integral tool for complex percutaneous coronary intervention (PCI). Rotational atherectomy increases the risk of periprocedural complications. One of the major complications of RA is coronary perforation, which has a reported incidence of up to 2%. It is usually identified and managed within the procedure. Rarely, there are delayed and unanticipated complications that can be missed, causing significant morbidity and mortality. We present a rare case of a patient with a late presentation of cardiac tamponade days after a complex PCI with RA.