title: Multi-vessel percutaneous coronary intervention in a patient with a type B aortic dissection-transradial or transfemoral?
abstract: Patients with chronic aortic dissections are at high risk of catheter-induced complications. We report a 41-year-old patient with a type B aortic dissection (Stanford) who underwent successful three-vessel percutaneous coronary intervention via the right radial artery approach following a non-ST elevation myocardial infarction. The patient remained asymptomatic at 6 mo follow-up. Trans-radial approach for coronary interventions can be used safely in patients with Stanford type B aortic dissection without increasing the risk of procedure- related complications in this high-risk group of patients.
authors.affiliation: Tahir Hamid, Tawfiq R Choudhury, Doug Fraser, Department of Cardiology, Manchester Royal Infirmary, Manchester M13 9WL, United Kingdom.
authors.forename: Tahir
authors.initials: T
authors.lastname: Hamid
authors.forename: Tawfiq R
authors.initials: TR
authors.lastname: Choudhury
authors.forename: Doug
authors.initials: D
authors.lastname: Fraser
keywords: Aortic dissection; Percutaneous coronary intervention; Transfemoral; Type B