title: Coronary Embolism After Iatrogenic Radial Endarterectomy.
abstract: A 55-year-old man with double-vessel coronary artery disease was revascularized by percutaneous coronary intervention three years ago. Elective coronary angiography was indicated for angina with positive stress test. During the procedure, severe radial spasm occurred; after the first injection, we detected loss in pressure trace in the diagnostic catheter and acute distal circumflex occlusion. Suspecting catheter thrombosis with coronary embolization, the entire system was exchanged and inspected; inside, we discovered a 2 x 50 mm white biological cylinder. Histological study of this material was compatible with endarterectomy. We present a rare complication of severe radial artery spasm and endarterectomy, with occlusion of the diagnostic catheter and coronary embolization.
authors.affiliation: Cardiology Department, Hospital Universitario Central de Asturias, Avd. Roma sn, 33011 Oviedo, Asturias, Spain. joserozadocast@gmail.com.
authors.forename: Jose
authors.initials: J
authors.lastname: Rozado
authors.forename: Isaac
authors.initials: I
authors.lastname: Pascual
authors.forename: Pablo
authors.initials: P
authors.lastname: Avanzas
authors.forename: Cesar
authors.initials: C
authors.lastname: Moris
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology*; D004691:Endarterectomy / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D017534:Radial Artery