scholarly journals A Practical Approach to the Percutaneous Treatment of Iatrogenic Aorto-coronary Dissection

2018 ◽  
Vol 12 (1) ◽  
pp. 50-54 ◽  
Author(s):  
George Kassimis ◽  
Tushar Raina
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Therapeutic Option ◽  
Aortic Surgery ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
Guide Catheter ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Life Threatening Complication

Catheter-induced aortic dissection during coronary angiography and Percutaneous Coronary Intervention (PCI) is a relatively infrequent, but potentially life-threatening complication. Patients who suffer this complication may require emergency aortic surgery. More recently, reports of treating the ostium of the dissected coronary artery have emerged as an alternative therapeutic option. In this article we describe two cases of extensive guide catheter induced dissection and their successful treatment using PCI and provide a concise overview of the available literature.

scholarly journals Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention – A Review

1970 ◽  
Vol 3 (2) ◽  
pp. 239-247 ◽  
Author(s):  
Z Rahman ◽  
M Ullah ◽  
AK Choudhury
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Covered Stents ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Interventional Devices ◽  
Life Threatening ◽  
Artery Disease

After its introduction by Andrew R. Gruentzig in 1977 percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease. Though it has numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic coronary artery dissection and perforation. The incidence of these complications has been augmented by the development of coronary interventional devices intended to remove or ablate tissue. Here we review the classification, incidence, pathogenesis, clinical sequelae and management of coronary artery dissection and perforation in the current era due to PCI. Specifically, the current angiographic classifications of coronary artery dissections and perforations are reviewed. The findings of several recent, registries of PCI-related coronary artery perforations and dissection are summarized. The management of coronary artery dissection and perforation is discussed in details, including the application of newer modalities such as covered stents. Keywords: Percutaneous coronary intervention (PCI); Coronary artery dissection DOI: http://dx.doi.org/10.3329/cardio.v3i2.9198   Cardiovasc. J. 2011; 3(2): 239-247

scholarly journals Percutaneous treatment of acute axillary artery occlusion after percutaneous coronary intervention

2021 ◽  
Author(s):  
Akihiro Umeno ◽  
Shigeyasu Tsuda
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Axillary Artery ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Endovascular Stent ◽  
Stent Grafting ◽  
Endovascular Stent Grafting ◽  
Guide Catheter ◽  
Percutaneous Coronary

The case of ischemic upper extremity disease caused by guide catheter-induced injury is rare. We present a case of right axillary artery occlusion, after percutaneous coronary intervention (PCI), treated by endovascular stent-grafting successfully.

scholarly journals GuideLiner Catheter Use for Percutaneous Intervention Involving Anomalous Origin of a Single Coronary Trunk Arising from the Ascending Aorta

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Mitsunari Matsumoto ◽  
Yusuke Tamanaha ◽  
Yoshimasa Tsurumaki ◽  
Tomohiro Nakamura
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Intervention ◽  
Ascending Aorta ◽  
Rapid Exchange ◽  
Guide Catheter ◽  
Percutaneous Coronary ◽  
Complex Lesions ◽  
Selection Of

Cases in which an anomalous single coronary trunk arises from the ascending aorta are extremely rare. In percutaneous coronary intervention for the lesion of a coronary artery anomaly, several problems may occur, including selection of a guide catheter, insufficient backup force, and difficulties of stent delivery. The GuideLiner catheter, which is a coaxial guide extension having the advantage of rapid exchange, facilitates coronary intervention for complex lesions. We report a case of angina having a lesion in the left anterior descending artery of a single coronary trunk arising from the ascending aorta. We successfully performed revascularization by using the GuideLiner catheter.

scholarly journals Multiple Life-threatening Coronary Artery Spasms after Percutaneous Coronary Intervention for Acute Coronary Syndrome

2019 ◽  
Vol 58 (2) ◽  
pp. 233-238 ◽  
Author(s):  
Toshiki Sawai ◽  
Yu Tajima ◽  
Atsuya Hirota ◽  
Shigetada Yamamoto ◽  
Hiroshi Nakajima ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Life Threatening

scholarly journals Extensive Dissection to the Coronary Sinus of Valsalva during Percutaneous Intervention in Right Coronary Artery—A Case Report and Literature Review

2011 ◽  
Vol 5 ◽  
pp. CMC.S6447 ◽  
Author(s):  
Li Li ◽  
Yunshan Cao
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Rare Complication ◽  
Coronary Intervention ◽  
Percutaneous Intervention ◽  
Artery Dissection ◽  
Sinus Of Valsalva ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Life Threatening

Severe retrograde dissection extending into the sinus of Valsalva is a rare complication during percutaneous coronary intervention (PCI), but life threatening. There is some literature about this complication, but this particular complication has not been previously reported in China. We present a case of coronary artery dissection during a PCI in which progressively extended retrogradely into the sinus of valsalva, and was successfully treated with stenting without an operation.

scholarly journals Dislodged Coronary Artery Stent Retrieved With an Endovascular Snare

2020 ◽  
Vol 47 (3) ◽  
pp. 213-215
Author(s):  
Jonathan Senior ◽  
Marina Roelas Guillamo ◽  
Angie Ghattas ◽  
Luke Tapp
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Design And Technology ◽  
Stent Design ◽  
Coronary Artery Stent ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Procedural Complications ◽  
Proximal Right Coronary Artery

Advances in stent design and technology have made stent loss during percutaneous coronary intervention rare. When stent loss occurs, the risk of life-threatening procedural complications is high. We describe the use of an endovascular snare system to retrieve a dislodged stent from the proximal right coronary artery of a 54-year-old man during percutaneous coronary intervention after other conventional retrieval techniques had failed.

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