Abrupt closure case 19

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Percutaneous coronary intervention Microchapters

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Factors Associated with Complications
Vessel Perforation
Dissection
Distal Embolization
No-reflow
Coronary Vasospasm
Abrupt Closure
Access Site Complications
Peri-procedure Bleeding
Restenosis
Renal Failure
Thrombocytopenia
Late Acquired Stent Malapposition
Loss of Side Branch
Multiple Complications

PCI in Specific Patients

Cardiogenic Shock
Left Main Coronary Artery Disease
Refractory Ventricular Arrhythmia
Severely Depressed Ventricular Function
Sole Remaining Conduit
Unprotected Left Main Patient
Adjuncts for High Risk PCI

PCI in Specific Lesion Types

Classification of the Lesion
The Calcified Lesion
The Ostial Lesion
The Angulated or Tortuous Lesion
The Bifurcation Lesion
The Long Lesion
The Bridge Lesion
Vasospasm
The Chronic Total Occlusion
The Left Internal Mammary Artery
Multivessel Disease
Distal Anastomotic Lesions
Left Main Intervention
The Thrombotic Lesion

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D., Sapan Patel M.B.B.S

Abrupt Closure

Pre-intervention

Shown below is a pre-intervention angiogram with significant lesion in the mid LAD.

Normal speed
Slow motion

Intervention

Shown below is an angiogram with ongoing intervention on the significant lesion described above.

Abrupt-closure-20(20).gif

Post-intervention

Shown below is a post-intervention angiogram with occlusion at the mid LAD depicting abrupt closure.

Normal speed
Slow motion

Shown below is an angiogram with ongoing re-intervention on the occlusion described above.

Abrupt-closure-20(28).gif

Shown below is a post-intervention angiogram without any occlusion in the LAD after transient occlusion as seen above, which indicates transient abrupt closure.

Normal speed
Slow motion

References


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