title: Directional coronary atherectomy for failed angioplasty due to occlusive coronary dissection.
abstract: We describe a case in which coronary balloon angioplasty failed to improve sequential lesions and resulted in a long area of dissection between the stenoses. Directional coronary atherectomy of the occlusive dissection produced excellent angiographic improvement to achieve a successful result and avoid the need for urgent coronary bypass surgery. Directional coronary atherectomy represents a potentially useful treatment for PTCA-induced coronary dissection.
authors.affiliation: Department of Medicine, Medical College of Virginia, Richmond.
authors.forename: M
authors.initials: M
authors.lastname: Warner
authors.forename: Y
authors.initials: Y
authors.lastname: Chami
authors.forename: D
authors.initials: D
authors.lastname: Johnson
authors.forename: M J
authors.initials: MJ
authors.lastname: Cowley
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged