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Review
. 2020 May 27:15:e04.
doi: 10.15420/icr.2020.02. eCollection 2020 Apr.

Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

Phyo Htet Khaing  1 , Gill Louise Buchanan  2 , Vijay Kunadian  1   3
Affiliations
Review

Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

Phyo Htet Khaing et al. Interv Cardiol. .

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.

Keywords: Pregnancy-associated spontaneous coronary artery dissection; acute MI in pregnancy; ionising radiation exposure; percutaneous coronary intervention in pregnancy; stent in pregnancy.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Acute MI in Pregnancy
Figure 2:
Figure 2:. Pathological Mechanisms Underlying Spontaneous Coronary Artery Dissection
Figure 3:
Figure 3:. Special Considerations for Percutaneous Coronary Intervention and Methods to Minimise Radiation in Pregnancy
See this image and copyright information in PMC

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