Interventional radiology treatments for iatrogenic severe bleeding during percutaneous coronary interventions

2018
journal article
article
1
dc.abstract.enPurpose: Interventional cardiology and interventional radiology are separate medical disciplines in which intra-arterial contrast media are used. Interventional cardiology has resigned from many types of treatment techniques that are now used and developed in the field of interventional radiology. In the event of iatrogenic bleeding during coronary interventions, there is an urgent need to use safe and efficient rescue procedures that are as efficient as cardiosurgery but use simpler treatment options. Serious perforations require immediate endovascular interventions. Medical history may reveal risk factors for artery perforation. Medicines, location of artery perforation, and extent of bleeding are directly associated with the prognosis. Most often, arterial perforations are due to inappropriate wire manipulation or use of oversized balloons or cutting balloons. Prolonged, artery-occluding balloon inflation, covered stent implantation, and embolisation with different agents are among the available treatment options for artery ruptures. Material and methods: A retrospective analysis was carried out among selected patients with iatrogenic vascular complications during procedures involving either coronary or non-coronary arteries. Results: Only representative cases were selected and presented in the patient subsection. Conclusions: Artery perforation during cardiac catheterisation can lead to dire consequences. To manage this complication, clinicians need pre-established procedures, adequate resources, and knowledge. Interventional radiology can be used as a salvage therapy in such cases.pl
dc.contributor.authorPasecki, Piotrpl
dc.contributor.authorNarloch, Jerzypl
dc.contributor.authorTkaczewski, Konradpl
dc.contributor.authorWasek, Wojciechpl
dc.contributor.authorZiecina, Piotrpl
dc.contributor.authorBrzozowski, Krzysztofpl
dc.date.accessioned2018-08-22T08:21:11Z
dc.date.available2018-08-22T08:21:11Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 325pl
dc.description.physicale319-e325pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume83pl
dc.identifier.doi10.5114/pjr.2018.77027pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/56303
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enPCIpl
dc.subject.enhaemorrhagepl
dc.subject.eninterventional radiologypl
dc.subtypeArticlepl
dc.titleInterventional radiology treatments for iatrogenic severe bleeding during percutaneous coronary interventionspl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Purpose: Interventional cardiology and interventional radiology are separate medical disciplines in which intra-arterial contrast media are used. Interventional cardiology has resigned from many types of treatment techniques that are now used and developed in the field of interventional radiology. In the event of iatrogenic bleeding during coronary interventions, there is an urgent need to use safe and efficient rescue procedures that are as efficient as cardiosurgery but use simpler treatment options. Serious perforations require immediate endovascular interventions. Medical history may reveal risk factors for artery perforation. Medicines, location of artery perforation, and extent of bleeding are directly associated with the prognosis. Most often, arterial perforations are due to inappropriate wire manipulation or use of oversized balloons or cutting balloons. Prolonged, artery-occluding balloon inflation, covered stent implantation, and embolisation with different agents are among the available treatment options for artery ruptures. Material and methods: A retrospective analysis was carried out among selected patients with iatrogenic vascular complications during procedures involving either coronary or non-coronary arteries. Results: Only representative cases were selected and presented in the patient subsection. Conclusions: Artery perforation during cardiac catheterisation can lead to dire consequences. To manage this complication, clinicians need pre-established procedures, adequate resources, and knowledge. Interventional radiology can be used as a salvage therapy in such cases.
dc.contributor.authorpl
Pasecki, Piotr
dc.contributor.authorpl
Narloch, Jerzy
dc.contributor.authorpl
Tkaczewski, Konrad
dc.contributor.authorpl
Wasek, Wojciech
dc.contributor.authorpl
Ziecina, Piotr
dc.contributor.authorpl
Brzozowski, Krzysztof
dc.date.accessioned
2018-08-22T08:21:11Z
dc.date.available
2018-08-22T08:21:11Z
dc.date.issuedpl
2018
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 325
dc.description.physicalpl
e319-e325
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
83
dc.identifier.doipl
10.5114/pjr.2018.77027
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/56303
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
PCI
dc.subject.enpl
haemorrhage
dc.subject.enpl
interventional radiology
dc.subtypepl
Article
dc.titlepl
Interventional radiology treatments for iatrogenic severe bleeding during percutaneous coronary interventions
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
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