Abstract
Acute dissection—either spontaneous or iatrogenic—may lead to acute vessel closure, and in the latter case can be caused by any equipment used during PCI. Although many dissections can be small, and may even go unnoticed, in the most severe scenarios dissection can cause severe haemodynamic collapse and even death. Rapid recognition and prompt treatment—most often stenting—is needed to ensure good clinical outcomes.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Holmes Jr DR, Holubkov R, Vlietstra RE, Kelsey SF, Reeder GS, Dorros G, et al. Comparison of complications during percutaneous transluminal coronary angioplasty from 1977 to 1981 and from 1985 to 1986: the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry. J Am Coll Cardiol. 1988;12:1149–55. Epub 1988/11/01.
Rogers JH, Lasala JM. Coronary artery dissection and perforation complicating percutaneous coronary intervention. J Invasive Cardiol. 2004;16:493–9. Epub 2004/09/09.
Ferguson JJ, Barasch E, Wilson JM, Strony J, Wolfe MW, Schweiger MJ, et al. The relation of clinical outcome to dissection and thrombus formation during coronary angioplasty. Heparin Registry Investigators. J Invasive Cardiol. 1995;7:2–10. Epub 1994/12/09.
Awadalla H, Sabet S, El Sebaie A, Rosales O, Smalling R. Catheter-induced left main dissection incidence, predisposition and therapeutic strategies experience from two sides of the hemisphere. J Invasive Cardiol. 2005;17:233–6. Epub 2005/04/16.
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. Epub 2010/06/24.
Van Mieghem NM, van Weenen S, Nollen G, Ligthart J, Regar E, van Geuns RJ. Traumatic coronary artery dissection: potential cause of sudden death in soccer. Circulation. 2013;127(3):e280–2. Epub 2013/01/23.
Young Joon Hong M, Weon Kim, Youngkeun Ahn, and Myung Ho Jeong. A case of stenting in guiding catheter-induced long spiral dissection in the right coronary artery. Available from: http://www.circulation.or.kr/info/case/case200405.htm.
Sharma SK, Israel DH, Kamean JL, Bodian CA, Ambrose JA. Clinical, angiographic, and procedural determinants of major and minor coronary dissection during angioplasty. Am Heart J. 1993;126:39–47. Epub 1993/07/01.
Kovac JD, de Bono DP. Cardiac catheter complications related to left main stem disease. Heart. 1996;76(1):76–8. Epub 1996/07/01.
Huber MS, Mooney JF, Madison J, Mooney MR. Use of a morphologic classification to predict clinical outcome after dissection from coronary angioplasty. Am J Cardiol. 1991;68(5):467–71. Epub 1991/08/15.
Successful treatment of iatrogenic left main coronary artery dissection. Korean Society of Interventional Cardiology. 2012; Available from: http://www.kscvi.org.
Santos M, Luz A, Silveira J, Antunes N, Vieira M, Anjo D, et al. Aortocoronary dissection complicating percutaneous angioplasty. Rev Port Cardiol. 2011;30(9):745–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag London
About this chapter
Cite this chapter
Malik, N., Raphael, C.E., Gershlick, A.H. (2016). Coronary Dissection. In: Lindsay, A., Chitkara, K., Di Mario, C. (eds) Complications of Percutaneous Coronary Intervention. Springer, London. https://doi.org/10.1007/978-1-4471-4959-0_17
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4959-0_17
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4958-3
Online ISBN: 978-1-4471-4959-0
eBook Packages: MedicineMedicine (R0)