Key result
Catheter-induced iatrogenic left main coronary artery dissection was successfully managed with bailout stenting and a conservative approach, allowing discharge after 3 days.
Why the study?
Managing catheter-related iatrogenic left main coronary artery dissection is complex in centers that perform coronary angiography and interventional procedures without onsite surgical backup.
Case Report (n=1)
No
Bailout stenting can be a feasible and life-saving strategy for managing catheter-induced iatrogenic left main coronary artery dissection in centers lacking onsite cardiac surgery backup.
May support bailout stenting for iatrogenic LMCA dissection without surgical backup; leaves open need for confirmatory data.
Catheter-related iatrogenic left main coronary artery dissection is an extremely rare complication that can cause fatal outcomes if not recognized and treated early. In the current approach, conservative follow-up, bailout stenting with percutaneous intervention and bypass surgery treatment options are available. However, in some centers, coronary angiography and interventional applications are performed without surgical support. Management of such rare but important complications becomes more complex in these centers. In this experience, we wanted to share after her approval, how we managed catheter-induced iatrogenic left main coronary artery dissection in a 72-year-old female patient with bailout stenting and conservative approach in a center without surgical back up.
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Çağdaş Kaynak (2020) conducted a case report in Iatrogenic left main coronary artery dissection (n=1). Bailout stenting and conservative approach was evaluated on Clinical stability and discharge. Catheter-induced iatrogenic left main coronary artery dissection was successfully managed with bailout stenting and a conservative approach, allowing discharge after 3 days.
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