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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jun 26, 2017; 9(6): 558-561
Published online Jun 26, 2017. doi: 10.4330/wjc.v9.i6.558
Published online Jun 26, 2017. doi: 10.4330/wjc.v9.i6.558
Inadvertent cardiac phlebography
Konstantinos Aznaouridis, Constantina Masoura, Stylianos Kastellanos, Albert Alahmar, Cardiology Department, Castle Hill Hospital, Hull and East Yorkshire NHS Trust, Cottingham HU16 5JQ, United Kingdom
Author contributions: Aznaouridis K and Alahmar A designed the report and revised the drafted manuscript; Masoura C collected the clinical data and drafted the manuscript; Kastellanos S collected the clinical data and drafted the manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at Hull and East Yorkshire NHS Trust, Hull, United Kingdom.
Informed consent statement: The involved patient gave her informed consent prior to study inclusion.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Konstantinos Aznaouridis, PhD, Cardiology Department, Castle Hill Hospital, Hull and East Yorkshire NHS Trust, Castle Rd, Cottingham HU16 5JQ, United Kingdom. konstantinos.aznaouridis@hey.nhs.uk
Telephone: +44-1482-622294
Received: October 28, 2016
Peer-review started: October 29, 2016
First decision: January 14, 2017
Revised: February 10, 2017
Accepted: April 6, 2017
Article in press: April 10, 2017
Published online: June 26, 2017
Processing time: 240 Days and 20.1 Hours
Peer-review started: October 29, 2016
First decision: January 14, 2017
Revised: February 10, 2017
Accepted: April 6, 2017
Article in press: April 10, 2017
Published online: June 26, 2017
Processing time: 240 Days and 20.1 Hours
Core Tip
Core tip: Use of a dedicated radial catheter with both an end-hole and a side hole to perform a left ventriculogram, can result in inadvertent cannulation of a small Thebesian vein and subsequent opacification of a large epicardial vein. When such catheters are used for ventriculogram, a normal ventricular pressure waveform does not exclude malposition of the end-hole against the ventricular wall and extra caution is needed in order to prevent iatrogenic myocardial injury. We review current literature on myocardial injury induced by end-hole catheters used for left ventriculograms.