Related Experiment Videos
[Iatrogenic dissection of the left main artery treated by direct stenting]
F Philippe1, K Bouabdallah, D Carbogniani
1Département cardiovasculaire, Institut mutualiste Montsouris, Paris.
Insights
A severe aortic stenosis case led to emergency stenting after a left main artery dissection during a trans-radial procedure. Successful resuscitation was achieved using direct stenting and cardiopulmonary resuscitation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Surgery
Background:
- A 70-year-old woman presented with symptomatic severe calcific aortic stenosis, necessitating intervention.
- Pre-operative coronary angiography via a trans-radial approach was planned.
Observation:
- During the procedure, an iatrogenic dissection of the left main artery occurred, leading to complete occlusion.
- This complication resulted in cardiac arrest (asystole).
Findings:
- An emergency strategy involving percutaneous direct stenting revascularization was implemented.
- The procedure was combined with cardiopulmonary resuscitation (CPR) maneuvers.
Implications:
- This case highlights a rare but serious complication of trans-radial coronary angiography.
- Successful management underscores the importance of prompt intervention with direct stenting and CPR in such critical events.
- The findings emphasize the need for vigilance and preparedness in interventional cardiology procedures.
Abstract:
A 70-year-old woman was referred to the department due to a symptomatic severe calcific-aortic stenosis. During pre-operative trans-radial approach coronagraphy occurred a iatrogenic dissection of the left main artery with total occlusion and cardiac arrest (asystole). Successful resuscitation is achieved with an emergency strategy of percutaneous direct stenting revascularization combined with cardiopulmonary resuscitation manoeuvres.