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Year : 2019  |  Volume : 20  |  Issue : 1  |  Page : 17-20

Coronary intramural hematoma: Challenges in diagnosis and management

Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Dr. Fahad Al Kindi
Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, P.O. Box: 3050, Doha
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Source of Support: None, Conflict of Interest: None


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Coronary intramural hematoma (CIH) after percutaneous coronary intervention (PCI) is a rare cause of acute coronary syndrome. As the diagnosis is really challenging, its incidence is really under estimated. The optimal management of post-PCI CIH has not been well defined. Conventional coronary angiography alone is often insufficient to identify a CIH. Intravascular ultrasound and optical coherence tomography (OCT) are helpful modalities for diagnosis and evaluation of its extension. We present a case of CIH after PCI, highlighting our experience in the diagnostic accuracy of OCT and our strategy in the management of this case.

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