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A Practical Approach to the Percutaneous Treatment of Iatrogenic Aorto-coronary Dissection
The Open Cardiovascular Medicine Journal
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24 Apr 2018 •
CASE REPORT
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DOI: 10.2174/1874192401812010050
Abstract
Catheter-induced aortic dissection during coronary angiography and Percutaneous Coronary Intervention (PCI) is a relatively infrequent, but potentially life-threatening complication. Patients who suffer this complication may require emergency aortic surgery. More recently, reports of treating the ostium of the dissected coronary artery have emerged as an alternative therapeutic option. In this article we describe two cases of extensive guide catheter induced dissection and their successful treatment using PCI and provide a concise overview of the available literature.
Keywords: Iatrogenic, Aortic dissection, Cardiac catheterization, Percutaneous coronary intervention, Acute coronary syndromes, Guiding catheter.