Expanding subintimal coronary dissection under a stent-covered arterial segment: serial intravascular ultrasound observations.
A patient with an angiographically unrecognized minor coronary dissection in a stent-covered coronary segment in which a type D spiral dissection extended submedially to the distal artery is described. This complication occurred 6 months after stent implantation and was ascribed to injury of the stented vessel wall during an intravascular ultrasound study.
Martí
V
V
Interventional Cardiology Unit, Department of Cardiology and Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Montiel
J
J
Aymat
R M
RM
García
J
J
Guiteras
P
P
Kozak
F
F
Augé
J M
JM
D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D017539:Tunica Intima / Q000000981:diagnostic imaging*; D014463:Ultrasonography