Why the study?
Coronary intramural hematoma after PCI is difficult to diagnose, under-estimated, and its optimal management is not well defined.
Intravascular imaging, specifically OCT, is a valuable tool for accurately diagnosing and guiding the management of rare but challenging coronary intramural hematomas following PCI.
May aid post-PCI hematoma evaluation in select cases; hypothesis-generating and requires prospective validation before practice change.
Coronary intramural hematoma (CIH) after percutaneous coronary intervention (PCI) is a rare cause of acute coronary syndrome. As the diagnosis is really challenging, its incidence is really under estimated. The optimal management of post-PCI CIH has not been well defined. Conventional coronary angiography alone is often insufficient to identify a CIH. Intravascular ultrasound and optical coherence tomography (OCT) are helpful modalities for diagnosis and evaluation of its extension. We present a case of CIH after PCI, highlighting our experience in the diagnostic accuracy of OCT and our strategy in the management of this case.
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Kindi et al. (2019) studied this question.
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