Key result
IVUS-guided stenting successfully resolves iatrogenic LMCA dissection with clinical stability at 6 months.
Why the study?
Iatrogenic dissection of the left main coronary artery extending to major branches is a very rare but catastrophic complication during coronary intervention requiring prompt diagnosis and management.
Case Report (n=1)
This case demonstrates the successful management of a catastrophic iatrogenic left main coronary artery dissection using IVUS-guided provisional stenting.
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IVUS-guided stenting may be feasible for iatrogenic LMCA dissection; hypothesis-generating and requires confirmation before practice change.
Nguyen et al. (2025) conducted a case report in Iatrogenic left main coronary artery dissection (n=1). Percutaneous transluminal coronary angioplasty and stent placement with IVUS-guided optimization was evaluated on Resolution of chest pain and hemodynamic stability. Percutaneous transluminal coronary angioplasty and stent placement with IVUS-guided optimization successfully treated an iatrogenic LMCA dissection, resulting in clinical stability at 6 months.
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