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Rescue PTCA complicated by pulmonary artery rupture after tPA and abciximab
Author(s) -
Chadow Hal L.,
Gaba Mahender K.,
Safi Arshad,
Afflu Ernest,
Feit Alan
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199901)46:1<89::aid-ccd22>3.0.co;2-a
Subject(s) - medicine , abciximab , complication , pulmonary artery , cardiology , hemodynamics , artery , cardiac catheterization , surgery , myocardial infarction , percutaneous coronary intervention
Since the introduction of pulmonary artery catheterization for hemodynamic monitoring, several complications associated with its use have been described. Pulmonary artery rupture is an infrequent complication of flow‐directed pulmonary artery catheters. We report a case of pulmonary artery rupture complicating rescue PTCA in the presence of systemic platelet inhibition with abciximab (Reopro), anticoagulation, and thrombolytic therapy. With the increasing use of these medications in patients undergoing acute coronary interventions, particularly those patients requiring hemodynamic monitoring, this uncommon but potentially fatal complication may be seen more frequently. Cathet. Cardiovasc. Intervent. 46:89–91, 1999. © 1999 Wiley‐Liss, Inc.