How should I treat an iatrogenic aortic dissection as a complication of complex PCI?

被引：12
|
作者：
Wykrzykowska, Joanna J. [1 ]
Ligthart, Jurgen [2 ]
Gonzalo Lopez, Nieves
Schultz, Carl
Garcia-Garcia, Hector [2 ]
Serruys, Patrick W. [2 ]
机构：
[1] Univ Amsterdam, Dept Cardiol, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands
[2] Erasmus MC, Thoraxctr, Rotterdam, Netherlands
来源：
EUROINTERVENTION | 2012年 / 7卷 / 09期
关键词：
latrogenic aortic dissection; total coronary occlusion; optical coherence tomography;
D O I：
10.4244/EIJV7I9A176
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BACKGROUND: A 61-year-old woman presented with one week of shortness of breath and was found to have occluded proximal right coronary artery with left to right collaterals. After predilation optical coherence tomography (OCT) imaging and power contrast injection was done to guide stenting therapy. INVESTIGATION: Diagnostic angiography with bilateral injection of contrast injection, OCT, intravascular ultrasound of the aorta and MSCT. DIAGNOSIS: latrogenic right coronary artery and aortic dissection. TREATMENT: Stenting of the right coronary artery and its ostium with covered stent and drug eluting stents; imaging with OCT post stenting; imaging of the aorta with peripheral IVUS and MSCT
引用
收藏
页码：1111 / 1112
页数：2
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