Key result
Conservative management successfully treated an intramural hematoma complicating a chronic total occlusion intervention, resulting in patent coronary arteries on follow-up.
Conservative management can be a successful strategy for intramural hematoma complicating complex chronic total occlusion interventions.
May support conservative management of intramural hematoma after CTO PCI in select cases; hypothesis-generating and requires prospective validation.
We describe a patient who presented for elective percutaneous coronary intervention to treat a chronic total occlusion of the right coronary artery. An intramural hematoma resulted from the intervention and was discovered with intravenous ultrasound. The complication was successfully managed conservatively, and follow-up showed patent coronary arteries. (Level of Difficulty: Intermediate.)
No takes yet. Share an insight, caveat, or question.
Gupta et al. (2022) studied this question. Conservative management successfully treated an intramural hematoma complicating a chronic total occlusion intervention, resulting in patent coronary arteries on follow-up.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: