Author/Authors :
Nozary، Younes نويسنده Interventionist, Tehran University of Medical Sciences, Tehran, Iran , , Hashemi Fard، Omid نويسنده MD, Cardiologist, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract :
Lower extremity complications are the most common problems encountered during transfemoral
diagnostic coronary artery angiography. Dissection, thrombosis and perforation of arteries
of lower extremities although not uncommon, very rarely occur simultaneously. We did not
find any report in the literature in this issue. In this report we describe a case of simultaneous
occurrence of all three complications during coronary angiography in one patient. It also
represents some of our uncertainties regarding the best management of the patient. In this patient,
arterial perforation and dissection was managed conservatively, but we applied an invasive
treatment (surgical thrombectomy) for arterial thrombosis with excellent short and longterm
results.