Published in:
01-04-2015 | Case Report
A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery
Authors:
Yoshiki Nagata, Michiro Maruyama, Isao Aburadani, Motoaki Hirazawa, Takuya Mayumi, Kazuo Usuda
Published in:
Cardiovascular Intervention and Therapeutics
|
Issue 2/2015
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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.