A unique complication during coronary angiography: peripheral embolism by selective right coronary engagement--a case report.
"Micro" and "macro" peripheral embolisms during coronary angiography have been described. In all these cases, the aorta or the left heart chambers have been the source of embolus. A patient who during coronary angiography for acute inferior myocardial infarction experienced acute embolism of the left common femoral artery. The source of the embolus was a thrombus-filled right coronary artery, and the precipitating cause was its selective engagement with a diagnostic Judkins right catheter. A brief review of literature is also presented.
Jain
D
D
Medizinische Klinik II, Universitätsklinikum Lübeck, Germany. drdeepakjain@hotmail.com
Kurz
T
T
Katus
H A
HA
Richardt
G
G
D000328:Adult; D015901:Angiography, Digital Subtraction; D002404:Catheterization; D017023:Coronary Angiography / Q000009:adverse effects*; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D005263:Femoral Artery; D006801:Humans; D008297:Male