What is the clinical evidence from this study?

Study design: Case Report. Population: Spiral dissection and simultaneous remote coronary vasospasm during PCI (n=1). Intervention: Bailout stenting.

What question did this study set out to answer?

To detail the management strategies employed for a patient presenting with spiral dissection and remote coronary vasospasm.

July 2, 2026Open Access

A cascade of complications: management of a spiral dissection and simultaneous life-threatening remote coronary vasospasm

Key Result

Bailout stenting successfully restored coronary flow and hemodynamically stabilized a patient experiencing a spiral dissection and simultaneous life-threatening remote coronary vasospasm during PCI.

Key Points

To detail the management strategies employed for a patient presenting with spiral dissection and remote coronary vasospasm.
Case report detailing the patient's presentation and treatment approach.
Multidisciplinary team collaboration for optimal management of complications.
Successful stabilization of the patient following targeted interventions.
Improvement in hemodynamic stability and resolution of symptoms.

Study Design

Type

Case Report (n=1)

Multicenter

PICO

Population

A 60-year-old male with multiple cardiovascular risk factors who experienced a spiral dissection and simultaneous life-threatening remote coronary vasospasm during percutaneous coronary intervention.

Intervention / Comparator

Bailout stenting

Limitations

Single case report
IVUS was only performed after stent implantation

Abstract

Polish Archives of Internal Medicine is an international, peer-reviewed, online-only periodical issued monthly in English as an official journal of the Polish Society of Internal Medicine. The journal is designed to publish articles related to all aspects of internal medicine, both clinical and basic science, provided they have practical implications.

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