Blog
About

  • Record: found
  • Abstract: found
  • Article: found
Is Open Access

Identification and Management of Iatrogenic Aortocoronary Dissection

, MD, PhD, FESC, FSCAI1, , MD1

Cardiovascular Innovations and Applications

Compuscript

coronary catheterizations, complication, dissection, iatrogenic diseases, stenting

Read this article at

ScienceOpenPublisher
Bookmark
      There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

      Abstract

      Iatrogenic aortocoronary dissection (IACD) is a rare but potentially life-threatening complication during coronary catheterizations. Although the incidence was relatively low, the dissection often leads to procedure failure with increased risk of myocardial infarction and death. IACD is mainly caused by disruption of intima at the ostia of left or right coronary artery during interventional procedures, and appears as luminal filling defects or persistence of contrast (“extraluminal cap”) or intimal tear outside the coronary lumen. Dissection could disseminate antegradely and lead to subtotal or total occlusion of the coronary lumen. Similarly, it could extend retrogradely into the sinus of Valsalva and cusp, or even the ascending aorta, aortic arch, or descending aorta, leading to hemodynamic collapse. Early identification and prompt management is crucial to the prognosis of patients with IACD. Immediate bail-out stenting should be performed as rapidly as possible in most cases of severe dissection, even when significant propagation has already occurred. Surgery should only be considered when stenting failed to seal the dissection and the patients had hemodynamic compromise.

      Related collections

      Most cited references 32

      • Record: found
      • Abstract: not found
      • Article: not found

      Iatrogenic aortic dissection complicating percutaneous coronary intervention for chronic total occlusion

        Bookmark
        • Record: found
        • Abstract: found
        • Article: not found

        [Structural features of the sinus of valsalva and the proximal portion of the coronary arteries: their relevance to retrograde aortocoronary dissection].

        Retrograde aortocoronary dissection is an unusual complication of coronary angioplasty. Our study provides new structural details of the aortic sinuses and the proximal portions of the coronary arteries, which enable better understanding of several clinical features associated with this complication.
          Bookmark
          • Record: found
          • Abstract: not found
          • Article: not found

          Mortality related to diagnostic cardiac catheterization. The importance of left main coronary disease and catheter induced trauma

            Bookmark

            Author and article information

            Affiliations
            1Emergency & Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
            Author notes
            Correspondence: Shao-Ping Nie, MD, PhD, FESC, FSCAI, Emergency & Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing 100029, China, Tel.: +86-10-84005256, Fax: +86-10-64439768, E-mail: spnie@123456126.com
            Journal
            CVIA
            Cardiovascular Innovations and Applications
            CVIA
            Compuscript (Ireland)
            2009-8618
            2009-8618
            May 2016
            July 2016
            : 1
            : 3
            : 343-350
            cvia20160018
            10.15212/CVIA.2016.0018
            Copyright © 2016 Cardiovascular Innovations and Applications

            This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

            Product
            Categories
            REVIEWS
            ScienceOpen disciplines:
            Keywords:

            Comments

            Comment on this article