scholarly journals Contrast Medium-Induced Encephalopathy after Coronary Angiography– Case Report

2021 ◽  
Vol 7 (2) ◽  
pp. 145-149
Author(s):  
Sebastian Andone ◽  
Rodica Balasa ◽  
Laura Barcutean ◽  
Zoltan Bajko ◽  
Valentin Ion ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Angiography ◽  
Contrast Agents ◽  
Chemical Properties ◽  
Diagnostic Challenge ◽  
Mri Scan ◽  
Neurology Clinic ◽  
Theoretical Mechanism ◽  
Diagnostic Coronary Angiography

Abstract Introduction Contrast-induced encephalopathy represents a rare, reversible complication that appears after intravenous or intra-arterial exposure to contrast agents. There is no consensus in the literature regarding the mechanism of action. However, the theoretical mechanism is set around the disruption of the blood-brain barrier and the contrast agents’ chemical properties. Case report The case of a 70-year-old patient, known to have hypertension and type 2 diabetes mellitus is reported. The patient had undergone a diagnostic coronary angiography during which he received 100ml of Ioversol (Optiray 350™). Soon after the procedure, the patient began experiencing a throbbing headache, followed by intense behavioural changes and aggressive tendencies. He was transferred to the Neurology Clinic. The neurological examination was without focal neurological signs; however, the patient was very aggressive and uncooperative. The CT scan revealed a mild hyper-density in the frontal lobes. MRI scan revealed no pathological changes. Conservative treatment with diuretics and hydration was administered, and the patient experienced a complete resolution of symptoms in 72 hours. Conclusion Contrast-induced encephalopathy is a possible secondary complication to contrast agents and a diagnostic challenge, and it should not be overlooked, especially following procedures that use contrast agents.

scholarly journals Anomalous Origin of a Stenosed Left Circumflex Coronary Artery in a Patient Presenting with Unstable Angina: A Case Report

2016 ◽  
Vol 54 (4) ◽  
pp. 247-249
Author(s):  
Hossein Vakili ◽  
Isa Khaheshi ◽  
Mehdi Memaryan ◽  
Mohammadreza Naderian
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Unstable Angina ◽  
Coronary Intervention ◽  
Sinus Of Valsalva ◽  
Circumflex Coronary Artery ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Diagnostic Coronary Angiography

Abstract 73 year-old man presented to our emergency department with complaint of retrosternal chest pain since 2 day and admitted with diagnosis of unstable angina. He underwent diagnostic coronary angiography in which left circumflex artery (LCX) was not visualized during injection of the left coronary artery; indeed, it was originated, with common origin with RCA, from right coronary sinus of Valsalva. This case report is one of the uncommon cases with aberrant coronary arteries who presented with unstable angina. Moreover, coronary angiography with following coronary angioplasty was performed for him in a challenging course and angle for coronary intervention.

Aggressive systemic mastocytosis: a diagnostic challenge in a patient with myotonic dystrophy type 2: a case report

2019 ◽  
Vol 98 (12) ◽  
pp. 2825-2827
Author(s):  
Christin Le Hoa Tran ◽  
Nadja Jaekel ◽  
Marcus Bauer ◽  
Alexander Emmer ◽  
Claudia Wickenhauser ◽  
...  
Keyword(s):  
Case Report ◽  
Myotonic Dystrophy ◽  
Systemic Mastocytosis ◽  
Myotonic Dystrophy Type ◽  
Diagnostic Challenge ◽  
Myotonic Dystrophy Type 2

Femoral Vascular Closure Device: The Surgical View

Vascular ◽  
2008 ◽  
Vol 16 (5) ◽  
pp. 295-296
Author(s):  
Alfried Germing ◽  
Michael Lindstaedt ◽  
Delawer Reber
Keyword(s):  
Case Report ◽  
Coronary Angiography ◽  
Vascular Access ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Percutaneous Closure ◽  
Closure Device ◽  
Vascular Closure Device ◽  
The Common ◽  
Diagnostic Coronary Angiography

This case report describes the surgical findings of a percutaneous closure device, which was used after diagnostic coronary angiography. The features of the device are described. Surgeons should be familiar with the existence of these devices to avoid complications during vascular access procedures at the level of the common femoral artery.

scholarly journals Acute Life-Threatening Contrast Induced Thrombocytopenia Following Diagnostic Coronary Angiography: A Case Report and Literature Review

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Roy DD ◽  
Marshall CS ◽  
Pham SV ◽  
Chilton RJ
Keyword(s):  
Platelet Count ◽  
Case Report ◽  
Coronary Angiography ◽  
Literature Review ◽  
Severe Thrombocytopenia ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Contrast Administration ◽  
Life Threatening ◽  
Diagnostic Coronary Angiography

Acute severe thrombocytopenia following contrast administration is incredibly rare, but it can lead to significant morbidity. This case details the experience of a 63-year-old male whose diagnostic coronary angiography quickly led to severe thrombocytopenia with cardiovascular compromise in the absence of any immediate symptoms of anaphylaxis. His platelet count normalized within a week, increasing from 2 × 103/μL to 328 × 103/μL. A thorough review of the literature along with the present case is being reported.

scholarly journals Echocardiographic and radiological evaluation of an unusual aortic root mass in an asymptomatic patient: a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Vassilios Memtsas ◽  
Naveen Sharma ◽  
Mary Lynch
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Case Report ◽  
Coronary Angiography ◽  
Aortic Root ◽  
Asymptomatic Patient ◽  
Multimodality Imaging ◽  
Computed Tomography Coronary Angiography ◽  
Root Mass ◽  
Diagnostic Challenge

Abstract Background Incidental echocardiographic findings in the asymptomatic patient can present a diagnostic challenge to the clinician. This case report demonstrates that both natural occurring and iatrogenic causes should be considered in the differential diagnosis of isolated aortic root masses. Case Summary A patient presenting for a routine transthoracic echocardiogram to evaluate worsening breathlessness on exertion is found to have an unexpected aortic root mass. Due to the unusual appearances of the aortic root mass, it is further evaluated with additional imaging modalities, including transoesophageal echocardiogram and computed tomography coronary angiography. The mass is fully characterized following the computed tomography coronary angiography as a right coronary artery stent, from a previous coronary angioplasty, protruding into the lumen of the aortic root. No further investigation or intervention is required. Discussion A wide differential diagnosis of focal aortic root masses is presented. The non-invasive characterization of such masses can present a challenge. This case demonstrates the value of a multimodality imaging approach, including transthoracic, transoesophageal echocardiography, and computed tomography coronary angiography, in the evaluation of such masses.

Case report: Hip septic arthritis and abcess after diagnostic coronary angiography

Perfusion ◽  
2010 ◽  
Vol 25 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Hüseyin Ayhan ◽  
Nihal Akar Bayram ◽  
Telat Keles ◽  
Tahir Durmaz ◽  
Engin Bozkurt
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Coronary Angiography ◽  
Septic Arthritis ◽  
Invasive Procedure ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Leg Weakness ◽  
Diagnostic Coronary Angiography

Coronary angiography is an invasive procedure which can have some complications. Septic arthritis and abscess after coronary angiography are extremely rare. In this case, a 49-year-old-man presented to our hospital with non-ST-segment elevation myocardial infarction. After coronary angiography, he had right leg weakness, femoral palsy, inguinal pain, but there was no bleeding or hematoma. The cause was right hip septic arthritis and abscess.

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