The double helix angiography of right coronary arteries: false lumen stenting of a type F right coronary artery spiral dissection with late recanalization of the true lumen and occlusion of the stented false lumen.

Autor: Wassef AW; Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba - Canada., Kirkpatrick I; Department of Radiology, St. Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba - Canada., Minhas K; Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba - Canada., Malik A; Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba - Canada., Kass M; Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba - Canada., Hussain F; Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba - Canada.
Jazyk: angličtina
Zdroj: Heart international [Heart Int] 2014 Aug 19; Vol. 9 (1), pp. 26-9. Date of Electronic Publication: 2014 Aug 19 (Print Publication: 2014).
Abstrakt: Guide catheter induced dissection of coronary arteries is an uncommon, but serious complication of coronary angioplasty. Treatment can include emergent coronary artery bypass grafting to the affected vessel or percutaneous intervention including wiring the true lumen and exclusion stenting of the dissection flap to prevent further propagation. Detailed descriptions have been published of techniques of intentional passage of guide wires into the false lumen and reentry into the true lumen with chronic total occlusions. We present an unusual case of what appeared to be successful intentional false lumen stenting with reentry into the true lumen of an iatrogenic dissection of the right coronary artery with restoration of TIMI III coronary flow which, one year later, was complicated by recanalization of the true lumen and occlusion of the stented false lumen causing symptomatic angina.
Databáze: MEDLINE
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