Iatrogenic Aortocoronary Dissection: A Life Threatening Complication During Percutaneous Coronary Intervention Requiring Urgent Diagnosis and Treatment

2020 ◽  
Vol 23 (3) ◽  
pp. 208-211
Author(s):  
Aykun Hakgör ◽  
Oğuzhan Bodur ◽  
Berhan Keskin ◽  
Seda Tanyeri ◽  
Ali Karagöz
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Diagnosis And Treatment ◽  
Percutaneous Coronary ◽  
Aortocoronary Dissection ◽  
Life Threatening ◽  
Life Threatening Complication

scholarly journals A Practical Approach to the Percutaneous Treatment of Iatrogenic Aorto-coronary Dissection

2018 ◽  
Vol 12 (1) ◽  
pp. 50-54 ◽  
Author(s):  
George Kassimis ◽  
Tushar Raina
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Therapeutic Option ◽  
Aortic Surgery ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
Guide Catheter ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Life Threatening Complication

Catheter-induced aortic dissection during coronary angiography and Percutaneous Coronary Intervention (PCI) is a relatively infrequent, but potentially life-threatening complication. Patients who suffer this complication may require emergency aortic surgery. More recently, reports of treating the ostium of the dissected coronary artery have emerged as an alternative therapeutic option. In this article we describe two cases of extensive guide catheter induced dissection and their successful treatment using PCI and provide a concise overview of the available literature.

Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention

2017 ◽  
Vol 32 (4) ◽  
pp. 440-444 ◽  
Author(s):  
Takashi Shuto ◽  
Hirofumi Anai ◽  
Jun Hirota ◽  
Tomoyuki Wada ◽  
Satoshi Takebayashi ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Perioperative Management ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Aortocoronary Dissection

scholarly journals Management of Percutaneous Coronary Intervention Complications

2020 ◽  
Vol 13 (6) ◽  
Author(s):  
Jacob A. Doll ◽  
Ravi S. Hira ◽  
Kathleen E. Kearney ◽  
David E. Kandzari ◽  
Robert F. Riley ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Early Recognition ◽  
High Volume ◽  
Coronary Intervention ◽  
Complication Management ◽  
Extensive Experience ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Systematic Response

Complications of percutaneous coronary intervention (PCI) may have significant impact on patient survival and healthcare costs. PCI procedural complexity and patient risk are increasing, and operators must be prepared to recognize and treat complications, such as perforations, dissections, hemodynamic collapse, no-reflow, and entrapped equipment. Unfortunately, few resources exist to train operators in PCI complication management. Uncertainty regarding complication management could contribute to the undertreatment of patients with high-complexity coronary disease. We, therefore, coordinated the Learning From Complications: How to Be a Better Interventionalist courses to disseminate the collective experience of high-volume PCI operators with extensive experience in chronic total occlusion and high-risk PCI. From these conferences in 2018 and 2019, we developed algorithms that emphasize early recognition, effective treatment, and team-based care of PCI complications. We think that an algorithmic approach will result in a logical and systematic response to life-threatening complications. This construct may be useful for operators who plan to perform complex PCI procedures.

scholarly journals Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention – A Review

1970 ◽  
Vol 3 (2) ◽  
pp. 239-247 ◽  
Author(s):  
Z Rahman ◽  
M Ullah ◽  
AK Choudhury
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Covered Stents ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Interventional Devices ◽  
Life Threatening ◽  
Artery Disease

After its introduction by Andrew R. Gruentzig in 1977 percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease. Though it has numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic coronary artery dissection and perforation. The incidence of these complications has been augmented by the development of coronary interventional devices intended to remove or ablate tissue. Here we review the classification, incidence, pathogenesis, clinical sequelae and management of coronary artery dissection and perforation in the current era due to PCI. Specifically, the current angiographic classifications of coronary artery dissections and perforations are reviewed. The findings of several recent, registries of PCI-related coronary artery perforations and dissection are summarized. The management of coronary artery dissection and perforation is discussed in details, including the application of newer modalities such as covered stents. Keywords: Percutaneous coronary intervention (PCI); Coronary artery dissection DOI: http://dx.doi.org/10.3329/cardio.v3i2.9198   Cardiovasc. J. 2011; 3(2): 239-247

scholarly journals Ventricular fibrillation storm after revascularization of chronic total occlusion of the left anterior descending artery: is this reperfusion arrhythmia?

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199761
Author(s):  
Xingji Liu ◽  
Binay Kumar Adhikari ◽  
Tianlong Chen ◽  
Yonggang Wang ◽  
Quan Liu ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Ventricular Fibrillation ◽  
Collateral Circulation ◽  
Chronic Total Occlusion ◽  
Coronary Intervention ◽  
Electrical Storm ◽  
Total Occlusion ◽  
Reperfusion Arrhythmia ◽  
Percutaneous Coronary ◽  
Life Threatening

Electrical storm is a life-threatening emergency condition defined as three or more episodes of ventricular tachycardia or ventricular fibrillation (VF) within 24 hours requiring anti-tachycardia therapy, electrical cardioversion, or defibrillation. However, studies of the incidence of electrical storm after chronic total occlusion-percutaneous coronary intervention (CTO-PCI) are limited, 7 and post-procedural VF after revascularization of CTO has not been described. The purpose of this article was to present a case of post-operative VF electrical storm after revascularization of CTO of the left anterior descending (LAD) artery to determine whether the electrical storm was caused by reperfusion arrhythmia or compromise of either branch vessels or the collateral circulation during intervention.

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