Skip to main content

Dual catastrophe: iatrogenic dissection and stent dislodgement

A unique scenario in which two rare complications of PCI, iatrogenic LMCA dissection and complete retrograde stent dislodgement, occurred simultaneously in a patient undergoing coronary angiography.

Read more

Editor's Choice

Switching to INSTIs increases diabetes risk in people with HIV

Switching people with HIV to an integrase strand transfer inhibitor from a protease inhibitor or non-nucleoside reverse transcriptase inhibitor is associated with an increased risk for diabetes.

Stroke in autoimmune rheumatic diseases

Patients with ARDs have a significantly increased risk for stroke. Review the epidemiology, pathophysiological mechanisms, clinical characteristics, prevention strategies, and post-stroke rehabilitation in this patient population.

Differing STEMI and NSTEMI profiles in type 1 diabetes

ST-elevation myocardial infarction and non-ST-elevation myocardial infarction show distinct risk profiles in type 1 diabetes, highlighting the need for early, comprehensive cardiovascular prevention.


A bloodless approach to aortic dissection

Thoracic aortic surgery in patients who refuse blood transfusion poses unique challenges. In this case, a bloodless surgical strategy using the frozen elephant trunk technique was successful in treating acute type A aortic dissection.

Our tailored content service will keep you up to date…

Receive newsletters curated for the busy specialist by our expert editorial team

Episode 26: Air pollution and CVD

How does the air we breathe affect cardiovascular health?

Around one in five cardiovascular deaths are attributable to environmental stressors, yet these are often overlooked.

Air pollution is perhaps the most prevalent, but how does it affect cardiovascular health? Dr. Anusha Seneviratne elaborates on the mechanisms, epidemiological evidence, and preventive measures.

Dr. Anusha Seneviratne
Listen now
Podcast

Case Studies

Dual catastrophe: iatrogenic dissection and stent dislodgement

A unique scenario in which two rare complications of PCI, iatrogenic LMCA dissection and complete retrograde stent dislodgement, occurred simultaneously in a patient undergoing coronary angiography.

A bloodless approach to aortic dissection

Thoracic aortic surgery in patients who refuse blood transfusion poses unique challenges. In this case, a bloodless surgical strategy using the frozen elephant trunk technique was successful in treating acute type A aortic dissection.

Could TNF-α inhibitors treat IRVAN syndrome?

IRVAN – idiopathic retinal vasculitis, aneurysms and neuroretinitis – risks severe vision loss in refractory cases. In this case, marked improvement after anti-VEGF failure suggests adalimumab may be an effective option that targets underlying inflammation.

Episode 3: Unravelling resistant hypertension

Why is it so difficult to diagnose and manage?

Resistant hypertension is a difficult to treat and often misunderstood phenomenon that continues to frustrate cardiologists. 

In this episode, Professors Morris Brown and Bryan Williams debate the causes of resistant hypertension and explore novel treatment options.

Prof. Morris Brown
Prof. Bryan Williams
Listen now
Podcast

Current Reviews

Does Hypotension Prediction Index limit the occurrence of postoperative complications associated with intraoperative hypotension? A systematic review and model-averaged Bayesian meta-analysis of statistically sound studies

Intraoperative hypotension (IOH) is considered a potential contributing factor to postoperative complications. In 2018, a machine-learning algorithm to predict hypotension has been included in the Hemosphere™ platform (Edwards Lifescience, USA) …

Practical Considerations for Managing Transitions from Parenteral Prostacyclins to Oral Selexipag in Pulmonary Arterial Hypertension

The prostacyclin pathway represents a foundational pathway in the treatment of patients with pulmonary arterial hypertension (PAH). Parenteral prostacyclin pathway agents (PPAs) are often used for treatment of severe PAH but their broader use is …

2025 Annual Review of Pulmonary Arterial Hypertension Clinical Research

This article is published with digital features, including a graphical abstract, to facilitate understanding of the article. To view digital features for this article go to https://doi.org/10.6084/m9.figshare.31802044 .

Hypertension: Evaluation and Management

Hypertension in children is increasing over the years, prevalence being 4% worldwide with peak at adolescence. While secondary causes predominate, essential hypertension is not uncommon, especially after 5–6 y of age, associated with overweight or …

Keynote webinar | Spotlight on cardio-oncology

An expert-led symposium exploring the most pertinent issues in cardio-oncology, with a focus on the new ESC guidelines. Highlights include preventative approaches in cardio-oncology, toxicity risk-stratification strategies, the clinical management of myocarditis as an adverse effect of immune checkpoint inhibitor-treatments, and the utility of biomarkers in long-term follow-up of cardiovascular disease risk in cancer patients.

Prof. Rudolf de Boer
Prof. Lorenz Lehmann
Dr. Teresa Lopéz Fernández
Watch now
Video

CME & eLearning

Case-based insights: ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

Further Reading

Practical Considerations for Managing Transitions from Parenteral Prostacyclins to Oral Selexipag in Pulmonary Arterial Hypertension

The prostacyclin pathway represents a foundational pathway in the treatment of patients with pulmonary arterial hypertension (PAH). Parenteral prostacyclin pathway agents (PPAs) are often used for treatment of severe PAH but their broader use is …

Adrenalectomy improves cardiovascular profile in patients with mild autonomous cortisol secretion: extension of a multicenter randomized controlled trial to 12 months

The adrenal incidentaloma (AI) is an adrenal mass (≥ 1 cm) incidentally discovered during imaging scans performed for unrelated symptoms or suspicions. The prevalence of AI is rising across all age groups, driven by the increased use of advanced …

Risk Factors for Porto-Mesenteric Venous Thrombosis After Laparoscopic Sleeve Gastrectomy: a Matched Case-Control Study

Obesity is a global health challenge associated with substantial metabolic morbidity and premature mortality [ 1 , 2 ]. While lifestyle and pharmacologic interventions contribute to weight reduction, metabolic bariatric surgery (MBS) remains the …

‌Coronary inflammatory imaging and clinical factors: associations with coronary artery aneurysm regression in pediatric Kawasaki disease

The factors influencing the regression of coronary artery aneurysms (CAAs) in Kawasaki disease (KD) remain incompletely understood. Recent studies suggest a potential role for coronary inflammation and fat attenuation index (FAI) of perivascular …

Related topics

Dual catastrophe: iatrogenic dissection and stent dislodgement

A unique scenario in which two rare complications of PCI, iatrogenic LMCA dissection and complete retrograde stent dislodgement, occurred simultaneously in a patient undergoing coronary angiography.

Read more

IBD flare or an infectious complication?

A woman taking adalimumab for ileocolic Crohn’s disease presented with symptoms mimicking a flare. CT revealed extensive venous thrombosis, but respiratory symptoms developed and disseminated tuberculosis was diagnosed.

Read more
Image Credits
Fluoroscopic image during deployed stent retrieval /© 2026, Sefa Sural et al, BMC Cardiovasc Disord (CC BY 4.0), Alert symbol/© AlexSecret / Getty Images / iStock, Stroke illustration/© Thipphaphone / Generated with AI / stock.adobe.com, Heart model and ECG representation/© Nataliia_Trushchenko / Generated with AI / Stock.adobe.com, CT angiogram showing acute type A aortic dissection/© 2026, Laura Asta et al, J Cardiothorac Surg (CC BY 4.0), Medicine Matters Podcast promo image/© Springer Medizin GmbH, Wooden green tick in front of a checkbox/© Andrii Yalanskyi / Stock.adobe.com, Neurological stenting concept/© freshidea / stock.adobe.com, Fish oil capsules/© Ilya / stock.adobe.com, Illustration of adalimumab blocking the TNF-α receptor binding site /© Juan Gärtner / stock.adobe.com, Illustration of heart and ECG/© (M) santoelia / stock.adobe.com, Case-Based Insights teaser image/© Eva Künzel, Girl taking pill/© teen00000 / Stock.adobe.com (symbolic image with model), Hands, one depicting acromegaly/© Magorzata / Stock.adobe.com (symbolic image with models), IV drip/© Trsakaoe / stock.adobe.com, Fluoroscopic image showing coil placement in APW/© 2025, Hojjat Mortezaeian et al, Cardiothorac Surg, Spirit level /© Martin Barraud / Stone / Getty Images, Hyperdense lesion in the left putamen/© 2025, Fondazione Società Italiana di Neurologia, Neurol Sci, Multiple pseudonodular lesions in both lung fields/© 2026, Germán Ramírez-Olivencia et al, Clin J Gastroenterol, Blood clot illustration/© Artur / Stock.adobe.com, MRI imaging showing rupture of hyatid cyst/© 2025, Ounci Es-Saad et al, Journal of Cardiothoracic Surgery, ECG of Acute Left Main Coronary Artery Occlusion in APS patient/© 2025, Yufeng Jiang et al, J Cardiothoracic Surgery, TEE showing LV filling before the right heart chambers/© 2025, Paula Andrea Cárdenas-Marín et al, BMC Cardiovasc Disord