Intramural Hematoma Burrowing Behind a Coronary Stent: Optical Coherence Tomography Findings

Cardiovasc Revasc Med. 2022 Jun:39:125-127. doi: 10.1016/j.carrev.2021.11.027. Epub 2021 Dec 1.

Abstract

A 47-year-old patient underwent elective percutaneous coronary intervention for two separate lesions in left circumflex artery with a intervening normal segment. After completion of the procedure, there was abrupt vessel closure in the intervening normal segment. Intracoronary imaging using optical coherence tomography (OCT) demonstrated a large intramural hematoma (IMH) extending distally behind the stent. We describe the OCT findings of IMH using cross-sectional, longitudinal and stent-rendered images, and discuss its management.

Keywords: Abrupt closure; Complication; Coronary dissection; Intracoronary imaging; Intramural hematoma; Optical coherence tomography; Percutaneous coronary intervention.

Publication types

  • Case Reports
  • Editorial

MeSH terms

  • Coronary Angiography
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Artery Disease* / pathology
  • Coronary Artery Disease* / therapy
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / pathology
  • Cross-Sectional Studies
  • Hematoma / diagnostic imaging
  • Hematoma / etiology
  • Hematoma / therapy
  • Humans
  • Middle Aged
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / methods
  • Stents
  • Tomography, Optical Coherence / methods
  • Treatment Outcome