title: Acute coronary closure complicating intravascular ultrasound examination.
abstract: A patient with an excellent angiographic result after directional atherectomy suffered an acute coronary closure during an intravascular ultrasound study performed after the intervention. Intravascular ultrasound revealed a large medial dissection which could be successfully managed only with intracoronary stenting. The pathogenesis and implications of this rare major complication are discussed.
authors.affiliation: Cardiopulmonary Department, Hospital Universitario San Carlos, Madrid, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Alfonso
authors.forename: C
authors.initials: C
authors.lastname: Macaya
authors.forename: J
authors.initials: J
authors.lastname: Goicolea
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: J
authors.initials: J
authors.lastname: Segovia
authors.forename: J
authors.initials: J
authors.lastname: Zamorano
authors.forename: P
authors.initials: P
authors.lastname: Zarco
mesh_terms: D000368:Aged; D017225:Atherectomy, Coronary; D003251:Constriction, Pathologic / Q000209:etiology / Q000473:pathology; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D011182:Postoperative Care; D015607:Stents; D018084:Ultrasonography, Interventional / Q000009:adverse effects*