Basics of the Cath Lab: Resources for CVPs, Fellows, and the Cath Curious (Coronary Interventions 101)-Common Coronary Complications

Video Transcription

Video Summary

Interventional cardiologists Eric Canty and Tyler Myers review team-based management of coronary complications in the cath lab, focusing on no-reflow and coronary perforation. Preparedness includes accessible equipment, clearly assigned roles, calm closed-loop communication, and regular simulations. No-reflow—reduced coronary flow despite an open artery—requires patient stabilization, identification of epicardial or microvascular causes, and targeted treatment such as vasodilators or mechanical support. Perforation management begins with stabilization and balloon tamponade, followed by treatment based on location, such as covered stents or coils. Anticoagulation reversal should wait until bleeding is controlled. Both complications benefit from an algorithmic approach.

Asset Subtitle

Eric Cantey, MD, MSc, FSCAI and Tyler Myers, RCIS

Keywords

no-reflow

coronary perforation

cath lab preparedness

balloon tamponade

algorithmic management