Conservative Management of Extensive Iatrogenic Aortic Dissection

Conservative Management of Extensive Iatrogenic Aortic Dissection.

Iatrogenic aortic dissection (IAD) is a rare complication of percutaneous coronary interventions (PCI). There are no clear guidelines for IAD management, and limited data are available. Registry data and case series combined with extrapolations from our experience with spontaneous Type-A dissections suggest that very limited dissections are often managed conservatively with coronary stenting of...

Conservative Management of Chronic Aortic Dissection with Underlying Aortic Aneurysm

Aortic dissection is one of the most common aortic emergencies affecting around 2000 Americans each year. It usually presents in the acute state but in a small percentage of patients aortic dissections go unnoticed and these patients survive without any adequate therapy. With recent advances in medical care and diagnostic technologies, aortic dissection can be successfully managed through surgi...

Successful management of iatrogenic retrograde dissection into the aortic root

Case-1 A 60-year-old male patient with persistent chest pain was admitted to our hospital with non-STEMI. CAG performed via the right femoral approach and decided to LAD mid critical lesion intervention. The left main coronary artery (LMCA) was cannulated with a 6F JL4-guiding catheter, and a stent was successfully deployed in an LAD lesion. A circumflex (Cx) proximal flow-limiting dissection w...

Localized Aortic Root Dissection Secondary to Contrast Agent Injection: Feasibility of Conservative Follow-up With Echocardiography

Introduction: Iatrogenic aortocoronary dissection (ACD) is a nightmare in interventional cardiology. Although ACD is rarely reported, the real-world prevalence is suspected of being higher due to unreported cases. The right coronary artery (RCA) ostium is involved in the majority of cases, and dissections are usually limited to the aortic sinus in half of the clinical presentat...

management of aortic dissection