1 / 9

Complications of HSRA

Complications of HSRA. Layth A. Mimish Consultant Cardiologist Cardiovascular Consultants Group Jeddah , Saudi Arabia. Slow/No Reflow. 1.8-17 % Long lesions Heavy calcification Small vessels Long rotablation time Intra luminal filling defects. Slow/No Reflow.

hali
Download Presentation

Complications of HSRA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Complications of HSRA Layth A. Mimish Consultant Cardiologist Cardiovascular Consultants Group Jeddah , Saudi Arabia

  2. Slow/No Reflow • 1.8-17 % • Long lesions • Heavy calcification • Small vessels • Long rotablation time • Intra luminal filling defects

  3. Slow/No Reflow • Pre-treatment, peri-procedural • Frequent flushing • Short Burr time • Flush solution • Maintain coronary perfusion pressure, Inotropes /IABP

  4. Coronary Dissection • 12.8% • Burr size & adjuvant PTCA • Angiography • IVUS • Angioscopy • Post mortem

  5. Coronary Dissection • Proper Burr size • Control RPM • Prolonged balloon inflation • Atherectomy • Stenting • CABG

  6. Coronary Perforation • 0.6-0.7 % • >RCA & Cx X LAD • Eccentricity • Tortuosity • Lesion > 10mm • Guide wire Bias • Total occlusion

  7. Coronary Perforation • Guiding catheter alignment • Conservative • Prolonged balloon inflation • ? Stenting • Graft stent • CABG

  8. Jostent Coronary Stent Graft

  9. NACI Registry • 525 patients, 670 lesions • Death 0.5% ---------- 1% • Emergency CABG 0.4% -------1.4% • MI 6% (Non-Q 5%) ---------3.4% • Dissection 12-15% • Side branch occlusion 3% ------7.5% • Distal embolization 3%

More Related