Iatrogenic left main coronary artery dissection and intramural hematoma caused by diagnostic transradial cardiac catheterization.
The growing use of the transradial approach for percutaneous coronary interventions has been shown to decrease the risk of major vascular complications. However, in this case report we describe a iatrogenic left main dissection during diagnostic coronary catheterization, which remains a rare, but still life-threatening condition. The adjunctive use of intravascular ultrasound may assist in the accurate diagnosis and treatment process.
Antwerp Cardiovascular Institute Middelheim, Antwerp, Belgium.
Elias
E
Sanidas
Ian
I
Buysschaert
Glenn
G
van Langenhove
D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D017534:Radial Artery