Key result
Brisk sealing of the entry site of an iatrogenic aortocoronary dissection with a stent appeared safe and feasible, with good short- and long-term outcomes.
Why the study?
Coronary dissection extending to the ascending aorta during invasive coronary procedures is life-threatening, and the responsible mechanism for its occurrence during PCI remains unclear.
Case Report (n=1)
Sealing the entry site of an iatrogenic aortocoronary dissection with a stent during PCI appears to be a safe and feasible management strategy.
Supports rapid stenting as a viable bailout strategy for iatrogenic aortocor.
Coronary dissection extending to the ascending aorta is an uncommon complication of invasive coronary procedures which carries a life-threatening risk. The performance of percutaneous coronary intervention (PCI) at centers without emergency surgical instruments has increased awareness of potential complications. We report a case of iatrogenic aortocoronary dissection in a patient admitted with acute myocardial infarction (AMI) who was treated during angioplasty. The responsible mechanism for the occurrence of aortic dissection during PCI remains to be discovered. In this case, brisk sealing of the entry site of the dissection with a stent to prevent extension of the aortic dissection appears to be safe and feasible, with good short- and long-term outcomes.
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Macovei et al. (2023) conducted a case report in Iatrogenic aortocoronary dissection during acute myocardial infarction (n=1). Stent sealing of the dissection entry site was evaluated on Safety, feasibility, and short- and long-term outcomes. Brisk sealing of the entry site of an iatrogenic aortocoronary dissection with a stent appeared safe and feasible, with good short- and long-term outcomes.
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