Iatrogenic acute coronary dissection during coronary angioplasty for in-stent restenosis: role of intravascular ultrasound in diagnosis and treatment.
We report on a case of coronary dissection resulting from a guidewire passing out of a stent during in-stent restenosis (ISR) treatment and a guidewire successfully negotiated into true lumen and an implanted stent under intravascular ultrasound guidance, resulting in optimal coronary blood flow.
Department of Cardiology, 134-727 East West Neo Medical Center, 149 Sangil-dong, Kangdong-gu, Seoul, Korea. wwwpcb@hanmail.net
Chang-Bum
CB
Park
Hoon-Ki
HK
Park
Chong-Jin
CJ
Kim
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D023903:Coronary Restenosis / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000293:injuries*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D008875:Middle Aged; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional