Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy-Reference-Cited by-同舟云学术

Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

Published:2020-05-27 Issue: Volume:15 Page:
ISSN:1756-1485
Container-title:Interventional Cardiology Review
language:en
Short-container-title:Interv Cardiol

Author:

Khaing Phyo Htet¹,Buchanan Gill Louise²,Kunadian Vijay³

Affiliation:

1. Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK

2. North Cumbria Integrated Care NHS Foundation Trust, Cumbria, UK

3. Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK; Cardiothoracic Centre, Freeman Hospital, Newcastle Upon Tyne, UK

Abstract

Cardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three- to fourfold 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.

Publisher

Radcliffe Group Ltd

Subject

Cardiology and Cardiovascular Medicine

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