Large epicardial hematoma after percutaneous coronary intervention: multimodality imaging
Desai D, Ahmad A, Weiss ES, et al. Large Epicardial Hematoma After Percutaneous Coronary Intervention: Multimodality Imaging. J Invasive Cardiol. 2019;31(3):E49-E50.
Epicardial hematoma can manifest immediately or within a few minutes to hours after coronary intervention. Review of angiogram after the diagnosis of hematoma, in our case, showed deep distal positioning of a non-polymer jacketed wire, which is the most likely cause of the adverse outcome. Multimodality imaging is critical for diagnosis and management of such cases.