Key result
Conservative management resolves rare subclavian dissection extending to the ascending aorta during radial catheterization.
Case Report (n=1)
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Highlights a rare case of subclavian dissection extending into the ascending aorta during transradial diagnostic catheterization that was successfully managed conservatively.
Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavian dissection extending into the ascending aorta that occurred during diagnostic catheterization using the radial approach. The patient was successfully treated utilizing conservative management.
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Exaire et al. (2018) conducted a case report in Iatrogenic acute dissection of ascending aorta (n=1). Conservative management was evaluated. Conservative management successfully treated a rare case of subclavian dissection extending into the ascending aorta during diagnostic catheterization via the radial approach.
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