Catheterization and Cardiovascular Interventions

Case Report

Rescue PTCA complicated by pulmonary artery rupture after tPA and abciximab

Corresponding Author

Hal L. Chadow MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Cardiac Catheterization Laboratory, State University of New York Health Science Center, 450 Clarkson Avenue, Box 1199, Brooklyn, New York 11203.Search for more papers by this author

Mahender K. Gaba MD,

Mahender K. Gaba MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

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Arshad Safi MD,

Arshad Safi MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

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Ernest Afflu MD,

Ernest Afflu MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

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Alan Feit MD,

Alan Feit MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Search for more papers by this author

Hal L. Chadow MD,

Corresponding Author

Hal L. Chadow MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Cardiac Catheterization Laboratory, State University of New York Health Science Center, 450 Clarkson Avenue, Box 1199, Brooklyn, New York 11203.Search for more papers by this author

Mahender K. Gaba MD,

Mahender K. Gaba MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Search for more papers by this author

Arshad Safi MD,

Arshad Safi MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Search for more papers by this author

Ernest Afflu MD,

Ernest Afflu MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Search for more papers by this author

Alan Feit MD,

Alan Feit MD

Department of Medicine, Division of Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, New York

State University of New York Health Science Center, Brooklyn, New York

Search for more papers by this author

First published: 15 January 1999

https://doi.org/10.1002/(SICI)1522-726X(199901)46:1<89::AID-CCD22>3.0.CO;2-A

Citations: 1

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Abstract

Since the introduction of pulmonary artery catheterization for hemodynamic monitoring, several complications associated with its use have been described. Pulmonary artery rupture is an infrequent complication of flow-directed pulmonary artery catheters. We report a case of pulmonary artery rupture complicating rescue PTCA in the presence of systemic platelet inhibition with abciximab (Reopro), anticoagulation, and thrombolytic therapy. With the increasing use of these medications in patients undergoing acute coronary interventions, particularly those patients requiring hemodynamic monitoring, this uncommon but potentially fatal complication may be seen more frequently. Cathet. Cardiovasc. Intervent. 46:89–91, 1999. © 1999 Wiley-Liss, Inc.

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Volume46, Issue1

January 1999

Pages 89-91

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Rescue PTCA complicated by pulmonary artery rupture after tPA and abciximab

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Rescue PTCA complicated by pulmonary artery rupture after tPA and abciximab

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