Key result
Intravascular ultrasound guidance successfully restored a flush-occluded posterior descending artery following extensive right coronary artery dissection when conventional methods failed.
Why the study?
Does intravascular ultrasound guidance improve the reopening of flush-occluded vessels following iatrogenic coronary dissection compared to conventional methods?
Case Report (n=1)
Does intravascular ultrasound guidance improve the reopening of flush-occluded vessels following iatrogenic coronary dissection compared to conventional methods?
Intravascular ultrasound guidance can be a successful technique to reopen flush-occluded side branches following iatrogenic coronary dissection when conventional methods fail.
Answers are grounded in this paper and cite their sources.
May aid refractory flush-occluded branches after iatrogenic dissection; leaves open comparative efficacy versus conventional methods.
Iatrogenic complications present a major challenge to the interventional cardiologist. We describe a case of extensive right coronary artery dissection caused by engagement of a 0.035" guidewire. Attempts to reopen the flush-occluded posterior descending artery using conventional methods were unsuccessful. However, the vessel was successfully restored with the use of intravascular ultrasound guidance and we describe the steps involved in this technique.
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Williams et al. (2011) conducted a case report in Iatrogenic right coronary artery dissection with flush-occluded posterior descending artery (n=1). Intravascular ultrasound (IVUS) guidance vs. Conventional methods was evaluated on Vessel restoration. Intravascular ultrasound guidance successfully restored a flush-occluded posterior descending artery following extensive right coronary artery dissection when conventional methods failed.
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