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January 1, 1985Catheterization and Cardiovascular Diagnosis

Catheter‐induced left internal mammary artery bypass graft dissection

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Population

1 patient undergoing selective coronary and graft arteriography

Design

Case_report

Authors

SFShafgat FarooqiWest Virginia UniversityAJAbnash C. JainWest Virginia UniversityMOMichael O’KeefeMater Misericordiae University Hospital

Discussion

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Implication

May cause occult LIMA dissection and MI; first case leaves open role of adjunctive imaging.

Key Points

  • To document a case of catheter-induced dissection of a left internal mammary artery bypass graft occurring during diagnostic arteriography.
  • Assessed a patient undergoing selective coronary and internal mammary artery bypass graft arteriography.
  • Evaluated procedural fluoroscopy and subsequent clinical development of cardiac complications.
  • Selective catheterization caused an intimal tear and false lumen in the left internal mammary artery graft that was not visible on fluoroscopy during the procedure.
  • The undetected graft dissection progressed to cause an anteroseptal myocardial infarction.

Structured PICO

P
Population
1 patient undergoing selective coronary and graft arteriography
I
Intervention
Selective coronary and graft arteriography
O
Outcome
Catheter-induced left internal mammary artery bypass graft dissection and subsequent myocardial infarctionsafety

This first reported case demonstrates that catheter-induced LIMA graft dissection can occur without fluoroscopic visibility and lead to myocardial infarction.

Cite This Study

Farooqi et al. (1985) studied this question.

synapsesocial.com/papers/6a70964a26a7f98052dd10dchttps://doi.org/10.1002/ccd.1810110608
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Subintimal Dissection of the Coronary Arteries1968 · 56 citations
  2. 2ANGULATED VIEWS IN THE SAGITTAL PLANE FOR IMPROVED ACCURACY OF CINECORONARY ANGIOGRAPHY1974 · 85 citations
  3. 3Coronary artery dissection secondary to coronary arteriography: Presentation of three cases and review of the literature1981 · 42 citations
  4. 4Complication rate of coronary arteriography. A review of 5250 cases studied by a percutaneous femoral technique.1976 · 240 citations
  5. 5Complications of coronary arteriography from the Collaborative Study of Coronary Artery Surgery (CASS).1979 · 375 citations