Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

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 pregnanc...

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Autores principales:	Phyo Htet Khaing, Gill Louise Buchanan, Vijay Kunadian
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/e657317ae2fa45b483f813b1703e9d87
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spelling	oai:doaj.org-article:e657317ae2fa45b483f813b1703e9d872021-12-04T16:03:03ZDiagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy10.15420/icr.2020.021756-14851756-1477https://doaj.org/article/e657317ae2fa45b483f813b1703e9d872020-05-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2020.02https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Cardiovascular 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.Phyo Htet KhaingGill Louise BuchananVijay KunadianRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 15, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
description	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.
format	article
author	Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian
author_facet	Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian
author_sort	Phyo Htet Khaing
title	Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
title_short	Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
title_full	Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
title_fullStr	Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
title_full_unstemmed	Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
title_sort	diagnostic angiograms and percutaneous coronary interventions in pregnancy
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/e657317ae2fa45b483f813b1703e9d87
work_keys_str_mv	AT phyohtetkhaing diagnosticangiogramsandpercutaneouscoronaryinterventionsinpregnancy AT gilllouisebuchanan diagnosticangiogramsandpercutaneouscoronaryinterventionsinpregnancy AT vijaykunadian diagnosticangiogramsandpercutaneouscoronaryinterventionsinpregnancy
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Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

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