Korean Circ J.  2016 May;46(3):408-411. 10.4070/kcj.2016.46.3.408.

Abdominal Wall Hematoma as a Rare Complication following Percutaneous Coronary Intervention

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. cardio.hyapex@gmail.com
  • 2Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Abstract

Abdominal wall hematoma is a rare but potentially serious vascular complication that may develop after coronary angiographic procedures. In particular, an oblique muscle hematoma caused by an injury of the circumflex iliac artery is very rare, yet can be managed by conservative treatment including hydration and transfusion. However, when active bleeding continues, angiographic embolization or surgery might be needed. In this study, we report an uncommon case of injury to the circumflex iliac artery by an inappropriate introduction of the hydrophilic guidewire during the performance of a percutaneous coronary intervention.

Keyword

Percutaneous coronary intervention; Hematoma; Femoral artery
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