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Angiology
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A Unique Complication During Coronary Angiography: Peripheral Embolism by Selective Right Coronary Engagement

A Case Report

Deepak Jain, MD, DM

Lübeck, Germany

Thomas Kurz, MD

Lübeck, Germany

Hugo A. Katus, MD

Lübeck, Germany

Gert Richardt, MD

Lübeck, Germany

"Micro" and "macro" peripheral embolisms during coronary angiography have been described. In all these cases, the aorta or the left heart chambers have been the source of embolus. A patient who during coronary angiography for acute inferior myocardial infarction experienced acute embolism of the left common femoral artery. The source of the embolus was a thrombus-filled right coronary artery, and the precipitating cause was its selective engagement with a diagnostic Judkins right catheter. A brief review of literature is also presented.

Angiology, Vol. 52, No. 7, 493-499 (2001)
DOI: 10.1177/000331970105200709


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