TY - JOUR
T1 - How should I treat an iatrogenic aortic dissection as a complication of complex PCI?
AU - Wykrzykowska, Joanna J.
AU - Ligthart, Jurgen
AU - Lopez, Nieves Gonzalo
AU - Schultz, Carl
AU - Garcia-Garcia, Hector
AU - Serruys, Patrick W.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Background: A 61-year-old woman presented with one week of shortness of breath and was found to have occluded proximal right coronary artery with left to right collaterals. After predilation optical coherence tomography (OCT) imaging and power contrast injection was done to guide stenting therapy. Investigation: Diagnostic angiography with bilateral injection of contrast injection, OCT, intravascular ultrasound of the aorta and MSCT. Diagnosis: Iatrogenic right coronary artery and aortic dissection. Treatment: Stenting of the right coronary artery and its ostium with covered stent and drug eluting stents; imaging with OCT post stenting; imaging of the aorta with peripheral IVUS and MSCT.
AB - Background: A 61-year-old woman presented with one week of shortness of breath and was found to have occluded proximal right coronary artery with left to right collaterals. After predilation optical coherence tomography (OCT) imaging and power contrast injection was done to guide stenting therapy. Investigation: Diagnostic angiography with bilateral injection of contrast injection, OCT, intravascular ultrasound of the aorta and MSCT. Diagnosis: Iatrogenic right coronary artery and aortic dissection. Treatment: Stenting of the right coronary artery and its ostium with covered stent and drug eluting stents; imaging with OCT post stenting; imaging of the aorta with peripheral IVUS and MSCT.
KW - Iatrogenic aortic dissection
KW - Optical coherence tomography
KW - Total coronary occlusion
UR - http://www.scopus.com/inward/record.url?scp=84856284024&partnerID=8YFLogxK
U2 - 10.4244/EIJV7I9A176
DO - 10.4244/EIJV7I9A176
M3 - Article
C2 - 22207232
AN - SCOPUS:84856284024
VL - 7
SP - 1111
EP - 1117
JO - EUROINTERVENTION : JOURNAL OF EUROPCR IN COLLABORATION WITH THE WORKING GROUP ON INTERVENTIONAL CARDIOLOGY OF THE EUROPEAN SOCIETY OF CARDIOLOGY
JF - EUROINTERVENTION : JOURNAL OF EUROPCR IN COLLABORATION WITH THE WORKING GROUP ON INTERVENTIONAL CARDIOLOGY OF THE EUROPEAN SOCIETY OF CARDIOLOGY
SN - 1774-024X
IS - 9
ER -