25: Retroperitoneal Bleed

CASE 25 Retroperitoneal Bleed





Cardiac catheterization


Angiography confirmed proximal occlusion of the left anterior descending artery (Figure 25-1). The operator successfully restored normal flow in this vessel with balloon angioplasty (2.5 mm diameter by 20 mm long balloon) followed by insertion of a 3.5 mm diameter by 15 mm long bare-metal stent (Figure 25-2). Adjunctive pharmacology included an additional bolus of unfractionated heparin and a bolus and infusion of eptifibatide. The left circumflex and right coronary arteries were angiographically normal. At the end of the procedure, 600 mg of clopidogrel was administered orally. The activated clotting time measured 260 seconds. An angiogram of the right femoral artery performed through the arterial sheath is shown in Figure 25-3 and Video 25-1. The operator successfully achieved access site hemostasis using a closure device (Starclose, Abbott Medical). The patient left the cardiac catheterization laboratory feeling well, with a blood pressure of 110/70 mmHg.





Jun 11, 2016 | Posted by in CARDIOLOGY | Comments Off on 25: Retroperitoneal Bleed

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