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Diagnostic angiograms and percutaneous coronary interventions in pregnancy

Lookup NU author(s): Phyo Khaing, Professor Vijay KunadianORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

Abstract

© 2020 All rights reserved. Cardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three to four fold secondary to the profound physiological changes that place an extra burden on the cardiovascular system. AMI is not always recognised in pregnancy and there is concern among both clinicians and patients regarding catheter-based interventions due to fears of foetal irradiation and risks to the foetus. This article evaluates the current state of knowledge on AMI in pregnancy with particular emphasis on pregnancy-associated spontaneous coronary artery dissection and percutaneous coronary intervention as the revascularisation procedure for AMI. Special considerations that must be made in patients requiring percutaneous coronary intervention for pregnancy-associated spontaneous coronary artery dissection and the current recommendations on arterial access, methods of minimising radiation and stent selection are discussed.

Publication metadata

Author(s): Khaing PH, Buchanan GL, Kunadian V

Publication type: Article

Publication status: Published

Journal: Interventional Cardiology Review

Year: 2020

Volume: 15

Online publication date: 27/05/2020

Acceptance date: 02/04/2020

Date deposited: 07/07/2020

ISSN (print): 1756-1477

ISSN (electronic): 1756-1485

Publisher: Radcliffe Cardiology

URL: https://doi.org/10.15420/icr.2020.02

DOI: 10.15420/icr.2020.02

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