scholarly journals Case reports of antegrade and retrograde iatrogenic coronary spiral dissection complicating percutaneous coronary intervention: Keep calm and carry on!

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Riccardo Iorio ◽  
Giuseppe Terlizzese ◽  
Alessandra Pizzuto ◽  
Ernesto Greco ◽  
Giuseppe Massimo Sangiorgi
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Syphilitic Coronary Artery Ostial Stenosis Resulting in Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Marcelo A. Nakazone ◽  
Maurício N. Machado ◽  
Raphael B. Barbosa ◽  
Márcio A. Santos ◽  
Lilia N. Maia
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Case Reports ◽  
Coronary Intervention ◽  
Wall Thickening ◽  
Percutaneous Coronary ◽  
St Elevation ◽  
Ostial Lesion

Cardiovascular abnormalities are well-known manifestations of tertiary syphilis infections which although not frequent, are still causes of morbidity and mortality. A less common manifestation of syphilitic aortitis is coronary artery ostial narrowing related to aortic wall thickening. We report a case of a 46-year-old male admitted due to acute anterior ST elevation myocardial infarction submitted to primary percutaneous coronary intervention successfully. Coronary angiography showed a suboccluded ostial lesion of left main coronary artery. VDRL was titrated to 1/512. The patient was discharged with treatment including benzathine penicillin. Previous case reports of acute myocardial infarction in association with syphilitic coronary artery ostial stenosis have been reported, but the fact that the patient was treated by percutaneous coronary intervention is unique in this case.

scholarly journals Percutaneous Coronary Intervention for High Takeoff Left Main Coronary Artery: A Case Report

2018 ◽  
Vol 03 (04) ◽  
pp. 237-239
Author(s):  
Seetharam Vankudoth ◽  
Madhurima Banoth
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Anterior Wall ◽  
Left Main ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
The Right ◽  
Diagnostic Catheter ◽  
Guiding Catheter

AbstractPercutaneous coronary intervention (PCI) for high takeoff left main is challenging, as it poses difficulties with the engagement of the guiding catheter and establishment of backup support. This report examines the case of a 53-year-old woman with history of anterior wall myocardial infarction with a ventricular septal defect (VSD), who was treated with left anterior descending (LAD) angioplasty and VSD device closure done 4 years back, and now she presented with unstable angina. After successful engagement of 5F Tiger diagnostic catheter through a right radial artery, the angiography revealed an 80% stenosis of the proximal LAD and in-stent restenosis 70% of mid-LAD. The authors tried to engage the left coronary system through the right femoral artery with 6F Judkins left, 6F Amplatzer left, 6F EBU, and 6F XBU. They could not cannulate because of high takeoff left main, so they switched to right radial access. Then they engaged a 6F 3.5 EBU catheter. Due to the weak backup support of the guiding catheter, they used another wire to stabilize it and the stent was implanted successfully. This is one of the rare case reports of PCI for high takeoff left main.

scholarly journals A Case Series of Eight Coronary Artery Perforations and a Review of the Up-to-Date Literature

2021 ◽  
pp. 77-83
Author(s):  
Sunil James ◽  
George Hunter
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Treatment Strategy ◽  
Early Recognition ◽  
Case Reports ◽  
Management Strategies ◽  
Case Series ◽  
Coronary Intervention ◽  
Mortality And Morbidity ◽  
Percutaneous Coronary

Percutaneous coronary intervention has become a fundamental diagnostic and treatment strategy in coronary artery disease. Much like any procedure, it is not without risk; in fact, a rare but life-threatening complication as a result of percutaneous coronary intervention is coronary artery perforations (CAP). The risk of CAPs correspondingly rises in relation to the difficulty of the procedure, location of lesion, and complexity of anatomy. It follows then that early recognition and instigation of an appropriate treatment strategy is key in reducing the mortality and morbidity associated with CAPs. The authors present eight case reports of varying difficulties, their analogous management, and a literature review of management approaches in treating CAPs in order to provide a review of management strategies and to highlight the importance of immediate recognition of a potentially fatal complication.

scholarly journals Coronary stenting using a 6 French diagnostic catheter: A case report

2013 ◽  
Vol 2 (2) ◽  
pp. 71-73
Author(s):  
Laxman Dubey ◽  
Sogunuru Guruprasad ◽  
Gangapatnam Subramanyama
Keyword(s):  
Internal Medicine ◽  
Blood Flow ◽  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Coronary Stenting ◽  
Arterial Blood Flow ◽  
Arterial Blood ◽  
Percutaneous Coronary ◽  
Diagnostic Catheter

Guiding catheters have larger lumen diameter as compared to the same size diagnostic catheters, and thus provide adequate arterial blood flow and good visualization of the artery during percutaneous coronary intervention. However, feasibility of percutaneous coronary intervention via diagnostic catheters has been demonstrated in a few studies. This case reports the use of a 6 French diagnostic catheter for both the coronary angiography as well as coronary stenting in a 52-year-old male patient with critical mid left anterior descending artery stenosis on December, 2012. DOI: http://dx.doi.org/10.3126/jaim.v2i2.8781 Journal of Advances in Internal Medicine 2013;02(02):71-73

scholarly journals Woven Coronary Artery Disease Successfully Managed with Percutaneous Coronary Intervention: A New Case Report

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Yakup Alsancak ◽  
Burak Sezenoz ◽  
Sedat Turkoglu ◽  
Adnan Abacı
Keyword(s):  
Coronary Artery Disease ◽  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Coronary Artery ◽  
Stent Implantation ◽  
Case Reports ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Artery Disease

Woven coronary artery is relatively rare and can be complicated in both acute and chronic phases. A few case reports have been published until now. Herein we report a case with right woven coronary artery managed with drug-eluted stent implantation without complication.

scholarly journals Aortic Dissection Caused by Percutaneous Coronary Intervention: 2 New Case Reports and Detailed Analysis of 86 Previous Cases

2016 ◽  
Vol 43 (1) ◽  
pp. 52-60 ◽  
Author(s):  
Priyank Shah ◽  
Sharad Bajaj ◽  
Fayez Shamoon
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Surgical Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Balloon Inflation ◽  
Percutaneous Coronary ◽  
The Right ◽  
Overall Mortality

Aortic dissection, a rare sequela of percutaneous coronary intervention, can be fatal when it is not recognized and treated promptly. Treatment varies from conservative management to invasive aortic repair and revascularization. We report the cases of 2 patients whose aortic dissection was caused by percutaneous coronary intervention. In addition, we present detailed analyses of 86 previously reported cases. Aortic dissection was most often seen during intervention to the right coronary artery (in 76.7% of instances). The 2 most frequently reported causes were catheter trauma (in 54% of cases) and balloon inflation (in 23.8%). The overall mortality rate was 7.1%. We conclude that most patients can be treated conservatively or by means of stenting alone, with no need for surgical intervention.

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