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International Journal of Complementary and Internal Medicine

CASE REPORT

Management of Iatrogenic Coronary Artery Dissection: A Case Report

 

Meryem Ibenchekroun, Nadia Fellat Mohamed V 

University Medical School, Ibn Sina University hospital, Cardiology A department

Corresponding Author: Meryem Ibenchekroun, Mohamed V University Medical School, Ibn Sina University hospital, Cardiology A department, Iraq. E-mail: [email protected] 

Received: April 19, 2023                                       Published: May 02, 2023 

Citation: Ibenchekroun M. Management of Iatrogenic Coronary Artery Dissection: A Case Report. Int J Complement Intern Med. 2023;4(1):167–172. DOI: 10.58349/IJCIM.1.4.2023.00125 

Copyright: ©2023 Meryem. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially.

Abstract 

Background: Catheter-induced coronary artery dissection (CICAD) is an infrequent but potentially catastrophic complication of coronary angiography and percutaneous coronary intervention (PCI). Case report: We report a 70 -year-old man who underwent bail-out stenting. 

Conclusion: Iatrogenic coronary artery dissection represents a life-threatening complication of coronary angiography. Careful attention to preventative techniques and knowledge of effective treatment strategies will prepare operators well and facilitate successful outcomes in this potentially life-threatening complication.

References 

1. Fischman DL, Vishnevsky A. Management of Iatrogenic Coronary Artery Dissections: Failing to Prepare Is Preparing to Fail. JACC Case Rep. 2021;3(3):385–387. 

2. Dunning DW, Kahn JK, Hawkins ET. Latrogenic coronary artery dissections extending into and involving the aortic root. Cathet Cardiovasc Intervent. 2000;51:387–393. 

3. Boyle AJ, Chan M, Dib J. "Catheter-induced coronary artery dissection: risk factors, prevention and management". J Invasive Cardiol. 2006;18:500–503. 

4. Prakash R, Starovoytov A, Heydari M. "Catheterinduced iatrogenic coronary artery dissection in patients with spontaneous coronary artery dissection". J Am Coll Cardiol Intv. 2016;9:1851– 1853. 

5. Ramasamy A, Bajaj R, Jones DA, et al. "Latrogenic catheter-induced ostial coronary artery dissections: prevalence, management, and mortality form a cohort of 55,968 patients over years". Catheter Cardiovasc Interv. 2020. 

6. Harding SA, Fairley SL. Catheter-induced coronary dissection. J Am Coll Cardiol Case Rep. 2019;1:113– 115. 

7. Hashmani S, Tuzcu E, Hasan F. Successful bail-out stenting for iatrogenic right coronary artery dissection in a young male. J Am Coll Cardiol Case Rep. 2019;1:108–112. 

8. Sumiyoshi A, Okamura A, Iwamoto M. Aspiration after sealing the entrance by stenting is a promising method to treat subintimal hematoma. J Am Coll Cardiol Case Rep. 2021;3:380–384.