TY - JOUR
T1 - Threading the Eye of the Needle
T2 - A Challenging Case of Iatrogenic Spiral Coronary Artery Dissection
AU - Ihdayhid, Abdul Rahman
AU - Brown, Adam J.
AU - McGaw, David
AU - Ko, Brian
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Catheter induced coronary dissection is an uncommon but potentially catastrophic complication of coronary angiography. We report a case of a 48-year-old female with normal coronary arteries on angiography complicated by extensive catheter induced spiral dissection. Wiring into the true lumen was a formidable challenge as a consequence of the large false lumen obliterating the true lumen. We present management strategies and in particular, highlight the important role of intravascular ultrasound (IVUS) imaging.
AB - Catheter induced coronary dissection is an uncommon but potentially catastrophic complication of coronary angiography. We report a case of a 48-year-old female with normal coronary arteries on angiography complicated by extensive catheter induced spiral dissection. Wiring into the true lumen was a formidable challenge as a consequence of the large false lumen obliterating the true lumen. We present management strategies and in particular, highlight the important role of intravascular ultrasound (IVUS) imaging.
KW - Coronary artery dissection
KW - Intravascular ultrasound
KW - IVUS
KW - Tactile resistance
KW - True lumen
UR - http://www.scopus.com/inward/record.url?scp=85042159322&partnerID=8YFLogxK
U2 - 10.1016/j.hlc.2018.01.003
DO - 10.1016/j.hlc.2018.01.003
M3 - Article
AN - SCOPUS:85042159322
SN - 1443-9506
VL - 27
SP - e73-e77
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 6
ER -