title: Optical coherence tomography-guided bifurcation stenting of a coronary artery dissection.
abstract: Periprocedural guide wire-induced coronary artery dissection is a rare but potentially serious complication of percutaneous coronary intervention. Immediate stenting of the entry point is one of the therapeutic options but engaging the guide wire in the true lumen might be challenging. We report a case of a 55-year-old woman with a guide wire-induced coronary dissection that occurred during treatment of a bifurcation lesion. Optical coherence tomography was instrumental in distinguishing true from false lumen and thereby guide correct positioning of the guide wire to successfully treat the lesion using a dedicated bifurcation stent.
authors: Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands; COEUR Cardiovascular Research School, Erasmus University Medical Center, Rotterdam, The Netherlands.
authors: Nienke S
authors: NS
authors: van Ditzhuijzen
authors: Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands.
authors: Jurgen
authors: J
authors: Ligthart
authors: Division of Image Processing, Department of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
authors: Shengxian
authors: S
authors: Tu
authors: Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands.
authors: Marc
authors: M
authors: van der Linden
authors: Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands. Electronic address: e.regar@erasmsumc.nl.
authors: Evelyn
authors: E
authors: Regar
mesh_terms: D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D015607:Stents; D041623:Tomography, Optical Coherence