Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis and immediate revascularisat...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdf |
| _version_ | 1818741654336569344 |
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| author | Shuvanan Ray Sunil Jain Sabyasachi Mitra |
| author_facet | Shuvanan Ray Sunil Jain Sabyasachi Mitra |
| author_sort | Shuvanan Ray |
| collection | DOAJ |
| description | Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left
Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis
and immediate revascularisation is mandatory to manage LMCA dissection in order to avoid worsening of patient’s haemodynamic
condition and to re-establish antegrade coronary blood flow. Here, the author report a case of catheter-induced iatrogenic LMCA
dissection developed during stenting of a lesion in Left Anterior Descending (LAD) coronary artery of a 32-year-old male patient. The
patient was managed by implantation of two Matrix (Sahajanand Medical Technologies, Pvt., Ltd., Surat, India) Bare Metal Stents (BMS)
using double barrel technique to treat the dissection in left main coronary bifurcation. The patient was regularly followed-up and even after
12 years of the index procedure, the angiographic data revealed good patency of stents in LMCA without any major cardiac events. |
| first_indexed | 2024-12-18T02:00:03Z |
| format | Article |
| id | doaj.art-09a284452a3c480bb3ae88fe840b37ba |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-18T02:00:03Z |
| publishDate | 2021-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-09a284452a3c480bb3ae88fe840b37ba2022-12-21T21:24:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-05-01155OD13OD1410.7860/IJARS/2021/48106:14890Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-upShuvanan Ray0Sunil Jain1Sabyasachi Mitra2Consultant, Chief of Cardiac Intervention, Department of Cardiology, Fortis Hospital, Kolkata, West Bengal, India.Consultant, Department of Cardiology, Anandalok Hospital, Kolkata, West Bengal, India.Registrar, Department of Cardiology, Fortis Hospital, Kolkata, West Bengal, India.Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis and immediate revascularisation is mandatory to manage LMCA dissection in order to avoid worsening of patient’s haemodynamic condition and to re-establish antegrade coronary blood flow. Here, the author report a case of catheter-induced iatrogenic LMCA dissection developed during stenting of a lesion in Left Anterior Descending (LAD) coronary artery of a 32-year-old male patient. The patient was managed by implantation of two Matrix (Sahajanand Medical Technologies, Pvt., Ltd., Surat, India) Bare Metal Stents (BMS) using double barrel technique to treat the dissection in left main coronary bifurcation. The patient was regularly followed-up and even after 12 years of the index procedure, the angiographic data revealed good patency of stents in LMCA without any major cardiac events.https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdfbail-out techniquebifurcationdouble barrel techniquesimultaneous kissing technique |
| spellingShingle | Shuvanan Ray Sunil Jain Sabyasachi Mitra Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up Journal of Clinical and Diagnostic Research bail-out technique bifurcation double barrel technique simultaneous kissing technique |
| title | Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up |
| title_full | Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up |
| title_fullStr | Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up |
| title_full_unstemmed | Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up |
| title_short | Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up |
| title_sort | iatrogenic left main coronary artery dissection treated with bare metal stents a case with twelve years angiographic follow up |
| topic | bail-out technique bifurcation double barrel technique simultaneous kissing technique |
| url | https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdf |
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