Work

Iatrogenic aortic dissection while attempting complex percutaneous coronary intervention

Year: 2025

Type: article

Abstract: We report a rare case of extensive Stanford type B iatrogenic aortic dissection during complex percutaneous coronary intervention. This case highlights the importance of early recognition, cautious catheter and guidewire manipulation, and tailored imaging to guide management. • Extensive Stanford type B iatrogenic dissection during complex PCI • Dissection from right external iliac to left subclavian artery • IVUS and aortography used for detection and CTA confirmation • Avoid forceful wire/catheter advancement to reduce iatrogenic dissection risk

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2025.100127

Authors: Syed F. Ahmad, Pedro E.P. Carvalho, Eleni Kladou, Emmanouil S. Brilakis

Institutions: Minneapolis Heart Institute Foundation, Des Moines University Osteopathic Medical Center, Des Moines University, Abbott Northwestern Hospital, Allina Health

Language: English

Topic: Vascular Procedures and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $920