Catheter-induced coronary artery dissection: risk factors, prevention and management.
Guide catheter-induced dissection of the coronary arteries is an uncommon but potentially catastrophic complication of diagnostic and interventional cardiac catheterization. Several factors placing the individual at higher risk of this complication have been identified. We discuss these risk factors and utilize them to propose methods to prevent dissections. Management options of coronary artery dissection are also discussed.
Boyle
Andrew J
AJ
Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Chan
Michael
M
Dib
Joud
J
Resar
Jon
J
D000784:Aortic Dissection / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D002404:Catheterization / Q000009:adverse effects*; D006322:Heart Aneurysm / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents