Catheter Induced Coronary Intramural Hematoma: A Case Report

Catheter Induced Coronary Intramural Hematoma

Abstract

Catheter-induced coronary artery dissection (CICAD) is a relatively rare complication during coronary procedures. The natural history of CICAD is not entirely understood, but prior reports describe varied outcomes. The CICAD management is currently made case-by-case basis, with no evidence-based guidelines to assist the operator. We present a case of catheter-induced coronary intramural hematoma (IMH), which is conservatively managed. On the follow-up two weeks later, we performed IVUS – guided PCI with good results.  We highlighted the approach in managing iatrogenic coronary IMH.