The parallel wire technique to deal with wire-induced dissection of a complex calcified lesion.
Coronary dissection is not an uncommon phenomenon during coronary angioplasty. Coronary dissection can occur due to a variety of interventions, including balloon inflation, atherectomy, stent edge dissections, guide catheter trauma and wire-induced dissections, to name a few. Once a severe dissection has occurred, it is often challenging to find the true lumen. The parallel wire technique has been described in the literature for the recanalization of chronic total occlusions and also to recanalize guide catheter-induced spiral dissections of the right coronary artery. We report a novel case of an extensive wire-induced dissection of a calcific and tortuous right coronary artery, which was recanalized using the parallel wire technique.
Hussain
Farrukh
F
Department of Cardiology, St. Boniface General Hospital, 409 Tache Avenue, Winnipeg, MB, Canada. fhussain@sbgh.mb.ca
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods*; D002114:Calcinosis / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization; D002932:Cineangiography; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D015607:Stents