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Catheter-induced aorto-coronary artery dissection: utility and appearance on CT coronary angiogram

Wee Thong Neo, Uei Pua, Yeong Shyan Lee

    International Journal of Cardiology
    |April 1, 2009
    PubMed

    Insights

    Coronary artery dissection (CCAD) is a rare, fatal complication of angiography. This study details CCAD

    Area of Science:

    • Cardiovascular Imaging
    • Interventional Cardiology
    • Radiology

    Background:

    • Coronary artery dissection (CCAD) is a rare but life-threatening complication following catheter coronary angiography.
    • Management strategies for CCAD are guided by distal arterial flow and the extent of retrograde aortic dissection.

    Observation:

    • This manuscript focuses on the utilization and imaging characteristics of CCAD.
    • ECG-gated multi-detector CT coronary angiography is employed in the acute management setting.

    Findings:

    • The study describes the appearance of CCAD on ECG-gated multi-detector CT coronary angiograms.
    • This imaging modality aids in assessing the extent and implications of dissection in the acute phase.

    Implications:

    • Accurate and timely diagnosis of CCAD using CT angiography is crucial for effective patient management.
    • Understanding the CT appearance of CCAD can improve clinical decision-making and patient outcomes.

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