title: Catheter-induced in-stented segment coronary dissection.
abstract: Coronary angiography can lead to different kinds of complications. Catheter-induced coronary dissection is one of the most feared of them. It is uncommonly reported and may result in ischemic events ranging from angina to death. We report a case of a woman admitted to the hospital due to progressive effort angina who had a complication during percutaneous coronary intervention not previously reported. It is a usual thinking that a coronary artery stented segment would not be prone to dissect either spontaneously or catheter-induced. This report describes a catheter-induced in-stented segment coronary dissection and a discussion if the dissection line involving the left anterior descending coronary artery stented segment occurred between the stent and the intimal hyperplasia or between the stent and the adventitia.
authors.forename: Luiz Fernando
authors.initials: LF
authors.lastname: Ybarra
authors.forename: Cristiano F
authors.initials: CF
authors.lastname: Souza
authors.forename: Valter C
authors.initials: VC
authors.lastname: Lima
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D006328:Cardiac Catheterization / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D011859:Radiography; D015607:Stents / Q000009:adverse effects*