CASE REPORT


A Practical Approach to the Percutaneous Treatment of Iatrogenic Aorto-coronary Dissection



George Kassimis, Tushar Raina*
Department of Cardiology, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, United Kingdom


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Creative Commons License
© 2018 Kassimis and Raina.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Cardiology, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, GL53 7AN, United Kingdom; Tel: 0044(0)300 4223280; E-mail: tushar.raina@nhs.net


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.