title: Catastrophic left main coronary artery occlusion following diagnostic coronary angiography: salvage by emergency left main coronary artery stenting.
abstract: Acute occlusion of left main coronary artery after diagnostic angiography can be rapidly fatal. We describe two patients with left main disease that developed cardiac arrest shortly after diagnostic coronary angiography. They were both successfully treated with emergency left main stenting while cardiopulmonary resuscitation was being performed. Patients with left main disease should be carefully monitored after diagnostic angiography to allow prompt recognition of acute occlusion. Emergency stenting may be required for salvaging the patients.
authors.affiliation: VA North Texas Healthcare System, University of Texas Southwestern Medical Center, Dallas, USA.
authors.forename: Abdul-Rahman R
authors.initials: AR
authors.lastname: Abdel-Karim
authors.forename: Chiranjeevi
authors.initials: C
authors.lastname: Gadiparthi
authors.forename: Subhash
authors.initials: S
authors.lastname: Banerjee
authors.forename: Emmanouil S
authors.initials: ES
authors.lastname: Brilakis
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D054059:Coronary Occlusion / Q000139:chemically induced* / Q000628:therapy; D003937:Diagnosis, Differential; D004638:Emergency Treatment; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents