Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome

A 56-year-old female patient hospitalized with diagnosis of acute coronary syndrome underwent early coronary intervention. Anticoagulant and antithrombotic treatment was administered, including acetylsalicylic acid, clopidogrel, and heparin in periprocedural period. Severe back pain and rapidly prog...

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Main Authors: Ferhat Özyurtlu, Nurullah Çetin, Nihat Pekel, Mehmet Emre Özpelit
Format: Article
Language:English
Published: KARE Publishing 2016-04-01
Series:Türk Kardiyoloji Derneği Arşivi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957
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author Ferhat Özyurtlu
Nurullah Çetin
Nihat Pekel
Mehmet Emre Özpelit
author_facet Ferhat Özyurtlu
Nurullah Çetin
Nihat Pekel
Mehmet Emre Özpelit
author_sort Ferhat Özyurtlu
collection DOAJ
description A 56-year-old female patient hospitalized with diagnosis of acute coronary syndrome underwent early coronary intervention. Anticoagulant and antithrombotic treatment was administered, including acetylsalicylic acid, clopidogrel, and heparin in periprocedural period. Severe back pain and rapidly progressing paraplegia developed in early period of follow-up. The patient underwent surgery immediately after diagnosis of spontaneous spinal epidural hematoma (SSEH) causing pressure, and decompression was performed. The patient rapidly improved without recurrence through early diagnosis and early surgical intervention. A common problem encountered by interventional cardiologists is back pain in patients who have undergone interventions in the femoral region and have lain in the same position for an extended period. Clinical onset of SSEH includes similar complaints, a fact of which cardiologists should be aware. Early diagnosis and early intervention may provide a good outcome, as is reported in the present case.
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spelling doaj.art-bbb7f64cb85948e196ce2ef29b91da0c2023-02-15T16:09:56ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692016-04-0144215816010.5543/tkda.2015.68957TKDA-68957Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcomeFerhat Özyurtlu0Nurullah Çetin1Nihat Pekel2Mehmet Emre Özpelit3Department of Cardiology, Special Grand Medical Hospital, Manisa, TurkeyDepartment of Cardiology, Karsiyaka State Hospital, Izmir, TurkeyDepartment of Cardiology, İzmir University Faculty of Medicine, Izmir, TurkeyDepartment of Cardiology, İzmir University Faculty of Medicine, Izmir, TurkeyA 56-year-old female patient hospitalized with diagnosis of acute coronary syndrome underwent early coronary intervention. Anticoagulant and antithrombotic treatment was administered, including acetylsalicylic acid, clopidogrel, and heparin in periprocedural period. Severe back pain and rapidly progressing paraplegia developed in early period of follow-up. The patient underwent surgery immediately after diagnosis of spontaneous spinal epidural hematoma (SSEH) causing pressure, and decompression was performed. The patient rapidly improved without recurrence through early diagnosis and early surgical intervention. A common problem encountered by interventional cardiologists is back pain in patients who have undergone interventions in the femoral region and have lain in the same position for an extended period. Clinical onset of SSEH includes similar complaints, a fact of which cardiologists should be aware. Early diagnosis and early intervention may provide a good outcome, as is reported in the present case.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957acute coronary syndromeantiaggregants; anticoagulant; epidural hematoma
spellingShingle Ferhat Özyurtlu
Nurullah Çetin
Nihat Pekel
Mehmet Emre Özpelit
Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
Türk Kardiyoloji Derneği Arşivi
acute coronary syndrome
antiaggregants; anticoagulant; epidural hematoma
title Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
title_full Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
title_fullStr Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
title_full_unstemmed Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
title_short Spontaneous spinal epidural hematoma developing after percutaneous coronary intervention: early diagnosis, early intervention, and good outcome
title_sort spontaneous spinal epidural hematoma developing after percutaneous coronary intervention early diagnosis early intervention and good outcome
topic acute coronary syndrome
antiaggregants; anticoagulant; epidural hematoma
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68957
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AT nurullahcetin spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome
AT nihatpekel spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome
AT mehmetemreozpelit spontaneousspinalepiduralhematomadevelopingafterpercutaneouscoronaryinterventionearlydiagnosisearlyinterventionandgoodoutcome