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A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery.

Abstract
Catheter-induced coronary artery dissection occurs rarely during selective coronary angiography but generally progresses to complete coronary occlusion. We present a case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery. Bailout stenting was employed to treat the giant hematoma quickly using a unique technique. The use of two guidewires created a high probability that the true lumen was selected, and aspiration of the hematoma with the microcatheter and indeflator effectively repaired a catheter-induced coronary artery dissection.
AuthorsYoshiki Nagata, Michiro Maruyama, Isao Aburadani, Motoaki Hirazawa, Takuya Mayumi, Kazuo Usuda
JournalCardiovascular intervention and therapeutics (Cardiovasc Interv Ther) Vol. 30 Issue 2 Pg. 155-61 (Apr 2015) ISSN: 1868-4297 [Electronic] Japan
PMID24756459 (Publication Type: Case Reports, Journal Article)
Topics
  • Coronary Angiography
  • Coronary Occlusion (etiology)
  • Coronary Vessels (injuries, surgery)
  • Female
  • Humans
  • Middle Aged
  • Percutaneous Coronary Intervention (adverse effects)

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