Large Epicardial Hematoma After Percutaneous Coronary Intervention: Multimodality Imaging

J Invasive Cardiol. 2019 Mar;31(3):E49-E50.

Abstract

Epicardial hematoma can manifest immediately or within a few minutes to hours after coronary intervention. Review of angiogram after the diagnosis of hematoma, in our case, showed deep distal positioning of a non-polymer jacketed wire, which is the most likely cause of the adverse outcome. Multimodality imaging is critical for diagnosis and management of such cases.

Keywords: cardiac imaging; computed tomography; transesophageal echocardiogram; transthoracic echocardiogram.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / methods
  • Coronary Angiography / methods
  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Bypass / methods
  • Coronary Restenosis / diagnostic imaging
  • Coronary Restenosis / therapy*
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / surgery
  • Drug-Eluting Stents*
  • Echocardiography / methods
  • Echocardiography, Transesophageal / methods
  • Electrocardiography / methods
  • Follow-Up Studies
  • Hematoma / diagnostic imaging*
  • Hematoma / etiology
  • Hematoma / surgery
  • Humans
  • Male
  • Multimodal Imaging / methods
  • Pericardium / diagnostic imaging
  • Pericardium / injuries*
  • Pericardium / surgery
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome