Related Experiment Video
Updated: Apr 18, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
A case of an occlusive right coronary artery dissection after stent implantation: dilemmas and challenges
Vasileios F Panoulas1, Filippo Figini, Gennaro Giustino
1Imperial College London, National Heart and Lung Institute, Sir Alexander Fleming Building, South Kensington Campus, SW7 2AZ, London, UK. v.panoulas@imperial.ac.uk
Abstract:
A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.
Related Concept Videos
Cardiac Catheterization II: Right Heart Catheterization
Acute Coronary Syndrome I: Introduction
Coronary Artery Disease V: Interprofessional Care
Acute Coronary Syndrome IV: Interprofessional Care
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Acute Coronary Syndrome III: Diagnostic Studies
