title: A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery.
abstract: Catheter-induced coronary artery dissection occurs rarely during selective coronary angiography but generally progresses to complete coronary occlusion. We present a case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery. Bailout stenting was employed to treat the giant hematoma quickly using a unique technique. The use of two guidewires created a high probability that the true lumen was selected, and aspiration of the hematoma with the microcatheter and indeflator effectively repaired a catheter-induced coronary artery dissection.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama, 930-8550, Japan, drnagata@nsknet.or.jp.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Nagata
authors.forename: Michiro
authors.initials: M
authors.lastname: Maruyama
authors.forename: Isao
authors.initials: I
authors.lastname: Aburadani
authors.forename: Motoaki
authors.initials: M
authors.lastname: Hirazawa
authors.forename: Takuya
authors.initials: T
authors.lastname: Mayumi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Usuda
mesh_terms: D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000209:etiology*; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*