Skip to main content
SpringerLink
Log in

A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

Catheter-induced coronary artery dissection occurs rarely during selective coronary angiography but generally progresses to complete coronary occlusion. We present a case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery. Bailout stenting was employed to treat the giant hematoma quickly using a unique technique. The use of two guidewires created a high probability that the true lumen was selected, and aspiration of the hematoma with the microcatheter and indeflator effectively repaired a catheter-induced coronary artery dissection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Wyman RM, Safian RD, Portway V, Skillman JJ, McKay RG, Baim DS. Current complications of diagnostic and therapeutic cardiac catheterization. J Am Coll Cardiol. 1988;12:1400–6.

    Article  CAS  PubMed  Google Scholar 

  2. Scanlon P, Faxon D, Eagle K, et al. ACC/AHA guidelines for coronary angiography: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography). J Am Coll Cardiol. 1999;33:1756–824.

    Article  CAS  PubMed  Google Scholar 

  3. Davidson CJ, Bonow RO. Cardiac catheterization. Braunwald’s heart disease—a textbook of cardiovascular medicine, 9th ed. Amsterdam: Elsevier Inc.; 2012.

  4. Carstensen S, Steen C, Ward M. Iatrogenic aortocoronary dissection: the case for immediate aortoostial stenting. Heart Lung Circ. 2008;17:325–9.

    Article  PubMed  Google Scholar 

  5. Eshtehardi P, Adorjan P, Togni M, Tevaearai H, Vogel R, Seiler C, et al. Iatrogenic left main coronary artery dissection: incidence, classification, management, and long-term follow-up. Am Heart J. 2010;159:1147–53.

    Article  PubMed  Google Scholar 

  6. Nomura T, Nakagawa Y, Urakabe Y, Naito D, Enomoto S, Nishikawa S, et al. Subacutely progressed extensive aortic dissection complicated with catheter-induced dissection in left main coronary artery. J Cardiol. 2009;54:128–33.

    Article  PubMed  Google Scholar 

  7. Oda H, Hatada K, Sakai K, Takahasi K. Aortocoronary dissection resolved by coronary stenting guided by intracoronary ultrasound. Circ J. 2004;68:389–91.

    Article  PubMed  Google Scholar 

  8. Ozaki K, Kubo T, Saji E, Ohtaki K, Fukaya H, Aizawa Y. Aortocoronary dissection complicated with percutaneous coronary intervention: a case report. J Cardiol. 2006;47:143–6.

    PubMed  Google Scholar 

  9. Akutagawa O, Kijima Y, Nakagawa Y, Hata T, Ishizaka T, Takahashi T. Acute coronary occlusion by injured aortic valve during percutaneous coronary intervention. Cardiovasc Interv Ther. 2012;27:43–6.

    Article  PubMed  Google Scholar 

  10. Sakakura K, Wada H, Taniguchi Y, Mori M, Momomura S, Ako J. Intravascular ultrasound-guided coronary stenting without contrast medium for the treatment of catheter-induced aortocoronary dissection. Cardiovasc Interv Ther. 2013;28:71–5.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Division of Cardiology, Department of Internal Medicine, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama, 930-8550, Japan

    Yoshiki Nagata, Michiro Maruyama, Isao Aburadani, Motoaki Hirazawa, Takuya Mayumi & Kazuo Usuda

Authors
  1. Yoshiki Nagata
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michiro Maruyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Isao Aburadani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Motoaki Hirazawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takuya Mayumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kazuo Usuda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yoshiki Nagata.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nagata, Y., Maruyama, M., Aburadani, I. et al. A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery. Cardiovasc Interv and Ther 30, 155–161 (2015). https://doi.org/10.1007/s12928-014-0265-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-014-0265-5

Keywords

Search

Navigation