Threading the Eye of the Needle: A Challenging Case of Iatrogenic Spiral Coronary Artery Dissection

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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.

Original languageEnglish
Pages (from-to)e73-e77
Number of pages5
JournalHeart Lung and Circulation
Issue number6
Publication statusPublished - 1 Jun 2018


  • Coronary artery dissection
  • Intravascular ultrasound
  • IVUS
  • Tactile resistance
  • True lumen

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