Extension of a Coronary Intramural Hematoma as a Complication of Early Percutaneous Coronary Intervention after Thrombolytic Therapy
Figure 2
(a) clearly shows luminal narrowing in both proximal LAD and LCX in the control angiogram done 3 days later. (b) and (c) show IVUS confirmation of the diagnosis and estimation of minimum luminal area (4.3 mm² in LAD and 3.4 mm² in LCX). (d) shows proximal LCX tight lesion just after IVUS removal. (e) shows further luminal narrowing of the LAD due to milking of the hematoma after LCX-LM stenting. The final angiogram (f) shows the end result after LM-LAD and LM-LCX stenting (culotte technique).
