Key result
Bailout PCI with ostial RCA stenting successfully seals extensive iatrogenic aorto-coronary dissections.
Why the study?
Catheter-induced aortic dissection during coronary angiography and PCI is a rare but potentially life-threatening complication with limited data on percutaneous treatment approaches.
Case Report (n=2)
No
Bailout percutaneous coronary intervention with stenting of the coronary ostium is a feasible and effective alternative to emergency surgery for managing iatrogenic aorto-coronary dissection during PCI.
May avoid emergency surgery in catheter-induced aortic dissection; leaves open need for prospective validation.
Catheter-induced aortic dissection during coronary angiography and Percutaneous Coronary Intervention (PCI) is a relatively infrequent, but potentially life-threatening complication. Patients who suffer this complication may require emergency aortic surgery. More recently, reports of treating the ostium of the dissected coronary artery have emerged as an alternative therapeutic option. In this article we describe two cases of extensive guide catheter induced dissection and their successful treatment using PCI and provide a concise overview of the available literature.
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Kassimis et al. (2018) conducted a case report in Iatrogenic aorto-coronary dissection (n=2). Percutaneous coronary intervention (stenting) was evaluated on Successful sealing of the dissection and salvage of the right coronary artery. Percutaneous coronary intervention with stenting of the right coronary artery ostium successfully sealed extensive iatrogenic aorto-coronary dissections in two patients.
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