Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery
Left main coronary artery dissection induced by the tip of the guide catheter (Razor blade effect) with or without extension into the adjacent aortic wall can result in no flow. It is being a life threatening, complication and must be time timely detected and treated by stenting or surgery. A 59-yea...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Indian College of Cardiology |
| Subjects: | |
| Online Access: | http://www.joicc.org/article.asp?issn=1561-8811;year=2022;volume=12;issue=3;spage=133;epage=135;aulast=Mahanta |
| _version_ | 1797321551522037760 |
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| author | Dibyasundar Mahanta Jogendra Singh Rudra Pratap Mahapatra Ramachandra Barik |
| author_facet | Dibyasundar Mahanta Jogendra Singh Rudra Pratap Mahapatra Ramachandra Barik |
| author_sort | Dibyasundar Mahanta |
| collection | DOAJ |
| description | Left main coronary artery dissection induced by the tip of the guide catheter (Razor blade effect) with or without extension into the adjacent aortic wall can result in no flow. It is being a life threatening, complication and must be time timely detected and treated by stenting or surgery. A 59-year-old male patient presented with crescendo angina having a history of stenting to left anterior descending coronary artery (LAD) using 3 mm × 23 mm drug-eluting stent 5 years back. Coronary angiogram revealed 100% instent re-stenosis of the LAD. Left circumflex (LCX) coronary artery had proximal chronic total occlusion with J-CTO score of ≥2.The dominant right coronary artery was normal. LMCA dissection was noticed like an invisible dragon from nowhere after stenting of the proximal LCX followed by abrupt retrograde extension into aorta, resulting in no flow in the left coronary artery. The true lumen of LMCA was re-wired, and timely bailout stenting from LMCA to LCX was performed. |
| first_indexed | 2024-03-08T05:00:13Z |
| format | Article |
| id | doaj.art-3d70862ccf2c417f8edcdcd89ed9dad9 |
| institution | Directory Open Access Journal |
| issn | 1561-8811 2213-3615 |
| language | English |
| last_indexed | 2024-03-08T05:00:13Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian College of Cardiology |
| spelling | doaj.art-3d70862ccf2c417f8edcdcd89ed9dad92024-02-07T12:49:49ZengWolters Kluwer Medknow PublicationsJournal of Indian College of Cardiology1561-88112213-36152022-01-0112313313510.4103/jicc.jicc_33_21Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary arteryDibyasundar MahantaJogendra SinghRudra Pratap MahapatraRamachandra BarikLeft main coronary artery dissection induced by the tip of the guide catheter (Razor blade effect) with or without extension into the adjacent aortic wall can result in no flow. It is being a life threatening, complication and must be time timely detected and treated by stenting or surgery. A 59-year-old male patient presented with crescendo angina having a history of stenting to left anterior descending coronary artery (LAD) using 3 mm × 23 mm drug-eluting stent 5 years back. Coronary angiogram revealed 100% instent re-stenosis of the LAD. Left circumflex (LCX) coronary artery had proximal chronic total occlusion with J-CTO score of ≥2.The dominant right coronary artery was normal. LMCA dissection was noticed like an invisible dragon from nowhere after stenting of the proximal LCX followed by abrupt retrograde extension into aorta, resulting in no flow in the left coronary artery. The true lumen of LMCA was re-wired, and timely bailout stenting from LMCA to LCX was performed.http://www.joicc.org/article.asp?issn=1561-8811;year=2022;volume=12;issue=3;spage=133;epage=135;aulast=Mahantaaortic dissectionbail-out stentingcatheter tip inducedcrescendo anginainstent restenosisleft main dissection |
| spellingShingle | Dibyasundar Mahanta Jogendra Singh Rudra Pratap Mahapatra Ramachandra Barik Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery Journal of Indian College of Cardiology aortic dissection bail-out stenting catheter tip induced crescendo angina instent restenosis left main dissection |
| title | Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery |
| title_full | Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery |
| title_fullStr | Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery |
| title_full_unstemmed | Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery |
| title_short | Guide catheter tip-induced type-II aortocoronary dissection bailed out by stenting the left main coronary artery |
| title_sort | guide catheter tip induced type ii aortocoronary dissection bailed out by stenting the left main coronary artery |
| topic | aortic dissection bail-out stenting catheter tip induced crescendo angina instent restenosis left main dissection |
| url | http://www.joicc.org/article.asp?issn=1561-8811;year=2022;volume=12;issue=3;spage=133;epage=135;aulast=Mahanta |
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