Spinal Hematoma Following Coronary Angioplasty: An Uncommon Complication

Nandra, Taran Kaur; Ramakrishnan, Anenta; Felekos, Ioannis; Pavlidis, Antonis N.

doi:10.1016/j.carrev.2019.02.001

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Even though most SSEH are idiopathic, there are few reports on predisposing factors such as vascular malformation, coagulation or platelet disorders, thrombolytic therapy, anticoagulation, leukemia, hemophilia, hypertension, pregnancy and minor trauma. [6][7][8][9][10][11] As pertaining to our case, the development of cervicothoracic SSEH is probably related to use of anticoagulant (unfractionated heparin) which was used prior to the procedure.…”

Section: Discussionmentioning

confidence: 92%

“…However, for the acutely developing hematomas, arterial source is proposed. 2,5,6 Depending upon the site and extent of hematoma and degree of spinal cord compression, clinical presentation may vary from neck and/or back pain to neurological deficits such as limb paraplegia/paresis, bowel and bladder incompetence or even death. Direct damage to spinal cord and disturbed vascular supply is the proposed mechanism for the clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…However, hematomas with mild or non-progressive neurological deficits and those related to coagulopathy can be treated conservatively. 5,6 There are multiple factors related to prognosis of SSEH, among which pre-operative neurological condition, site and extent of hematoma and spinal cord edema are believed to be the major ones. Moreover, interval between the development of hematoma and surgical interventions also determine the neurological outcome.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Epidural Hematoma: A rare neurological complication in a patient following routine coronary angiography

Shakya,

Gajurel,

Poudel

et al. 2023

Nepalese Heart J.

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Spinal epidural hematoma is an uncommon but potentially devastating complication associated with various medical interventions. We present a case report of this rare neurological complication following a routine coronary angiography. A 69-year-old male with Aortic Stenosis presented for a scheduled coronary angiography to assess his cardiac status before valve replacement. The procedure was uneventful but approximately 15 minutes after the angiography, he developed sudden-onset of rapidly progressing weakness and numbness in bilateral lower extremities. An urgent neurologic evaluation revealed signs of spinal cord compression, prompting a magnetic resonance imaging (MRI) scan which showed an extensive spinal epidural hematoma spanning multiple levels within the cervicothoracic spine. This case highlights the importance of recognizing this rare but a potential complication following routine coronary angiography even in the absence of signifcant procedural complications. Timely diagnosis and prompt surgical intervention are crucial for achieving favorable outcomes and minimizing morbidity associated with this condition.

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