Acute Thoracic Complications of Minimally Invasive Cardiac Procedures

Purpose of review Complications of minimally invasive cardiac procedures range from self-limiting to life-threatening. This review article will highlight the incidence, risk factors, and imaging features of acute thoracic complications of three of the most common minimally invasive cardiac procedure...

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Bibliographic Details
Published in:Current treatment options in cardiovascular medicine 2021-06, Vol.23 (6), p.38, Article 38
Main Authors: Weisman, Stacey Verzosa, Cheng, Edward P., Girvin, Francis, Toy, Dennis, Hossain, Rydhwana, Steinberger, Sharon, Escalon, Joanna, Legasto, Alan C.
Format: Article
Language:English
Subjects:
Aortic dissection
Cardiology
Coronary vessels
Hematoma
Imaging (Q Truong
Medicine
Medicine & Public Health
Mortality
Pneumothorax
Pseudoaneurysm
Section Editor
Surgery
Topical Collection on Imaging
Veins & arteries
Venous access
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Summary:Purpose of review Complications of minimally invasive cardiac procedures range from self-limiting to life-threatening. This review article will highlight the incidence, risk factors, and imaging features of acute thoracic complications of three of the most common minimally invasive cardiac procedures encountered in practice: transcatheter aortic valve replacement, cardiac implantable electronic devices, and pulmonary vein isolation. Recent findings Most minimally invasive cardiac procedures have a relatively low risk profile. Acute thoracic complications are usually detected during the procedure; however, delayed presentations are not uncommon, and therefore imaging with computed tomography or x-ray, in conjunction with echocardiography, plays an important role. Summary As most of the imaging-relevant acute thoracic complications are secondary to catheter and device deployment within a vessel or cardiac chamber, the highlighted complications in this article can be extrapolated to a majority of the several other minimally invasive techniques not discussed here. Radiography and computed tomography demonstrate readily recognizable abnormalities that confirm or suggest procedure related complications and guide further management.
ISSN:1092-8464
1534-3189
DOI:10.1007/s11936-021-00919-0