Multi-vessel percutaneous coronary intervention in a patient with a type B aortic dissection-transradial or...

Area of Science:

• Cardiology
• Vascular Surgery

Background:

• Patients with chronic aortic dissections face elevated risks of complications from invasive procedures.
• Type B aortic dissection poses specific challenges for cardiovascular interventions.

Purpose of the Study:

• To evaluate the safety and efficacy of the trans-radial approach for percutaneous coronary intervention in a patient with Stanford type B aortic dissection.
• To assess the risk of catheter-induced complications in this high-risk patient cohort.

Main Methods:

• A case report of a 41-year-old patient with Stanford type B aortic dissection and non-ST elevation myocardial infarction.
• Successful three-vessel percutaneous coronary intervention performed using the right radial artery approach.

Main Results:

• The patient underwent a successful three-vessel percutaneous coronary intervention via the trans-radial route.
• No procedure-related complications were observed during or after the intervention.
• The patient remained asymptomatic at 6-month follow-up.

Conclusions:

• The trans-radial approach is a safe and feasible option for coronary interventions in patients with Stanford type B aortic dissection.
• This technique can be utilized in high-risk patients without augmenting the risk of complications.
• Further studies may support the broader application of this approach in similar patient populations.