Key result
Active patient exhalation during contrast medium injection induced a change in catheter position, contributing to the development of a catheter-induced right coronary artery dissection.
Case Report (n=1)
No
Active patient exhalation during contrast medium injection can induce a change in catheter position leading to catheter-induced coronary artery dissection, highlighting the need to avoid injection during active respiratory movements.
Deep inhalation may displace catheters causing right coronary dissection; leaves open validation of this trigger beyond case reports.
Disekce koronĂĄrnĂch tepen pĹi manipulaci s katĂŠtrem pĹedstavuje pomÄrnÄ vzĂĄcnou, nicmĂŠnÄ potenciĂĄlnÄ velmi zĂĄvaĹžnou komplikaci diagnostickĂ˝ch a intervenÄnĂch vĂ˝konĹŻ na koronĂĄrnĂch tepnĂĄch. Za moĹžnou pĹĂÄinu tĂŠto komplikace bylo oznaÄeno nÄkolik rizikovĂ˝ch faktorĹŻ, mezi nÄĹž patĹĂ hlubokĂĄ intenzivnĂ inhalace vedoucĂ ke zmÄnÄ polohy katĂŠtru a nĂĄslednÄ disekci koronĂĄrnĂ tepny. PĹedklĂĄdĂĄme kazuistiku disekce pravĂŠ koronĂĄrnĂ tepny zpĹŻsobenou zmÄnou polohy katĂŠtru pĹi fyziologickĂŠm vydechnutĂ. Pokud je mi znĂĄmo, jednĂĄ se o prvnĂ pĹĂpad, kdy se fyziologickĂŠ vydechnutĂ podĂlelo na patofyziologii disekce koronĂĄrnĂ tepny pĹi manipulaci katĂŠtrem.
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Andreas Y. Andreou (2018) conducted a case report in Catheter-induced coronary artery dissection (n=1). Active exhalation during contrast medium injection was evaluated on Catheter-induced right coronary artery dissection. Active patient exhalation during contrast medium injection induced a change in catheter position, contributing to the development of a catheter-induced right coronary artery dissection.
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