Key result
Ostial DES successfully manages RCA dissection caused by a left guide catheter during LAD angioplasty.
Case Report (n=1)
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Accidental right coronary artery dissection during left coronary system angioplasty can be successfully managed with ostial stenting using a drug-eluting stent.
Injury to coronary arteries can occur during diagnostic and therapeutic interventions. It is more common with angioplasty with certain guide catheters such as Amplatz catheter. The dissection is more common in ascending aorta with extension to the coronary arteries. We hereby report a case of right coronary artery (RCA) dissection without concurrent aortic dissection caused by injury with extra-backup left guide catheter during angioplasty of left anterior descending artery successfully managed by stenting of RCA from ostium with drug-eluting stent.
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Majumder et al. (2017) conducted a case report in Right coronary artery dissection (n=1). Stenting of RCA from ostium with drug-eluting stent was evaluated on Successful management of RCA dissection. Right coronary artery dissection caused by an extra-backup left guide catheter during left anterior descending artery angioplasty was successfully managed by stenting the RCA ostium with a drug-eluting stent.
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