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Iatrogenic dissection of the left main coronary artery during elective diagnostic procedures--A report on three cases

Nemanja Djenić, Boris Dzudović, Radoslav Romanović

    Vojnosanitetski Pregled
    |June 15, 2016
    PubMed

    Insights

    Left main coronary artery dissection is a rare complication. Percutaneous coronary intervention (PCI) offers a fast, life-saving treatment for these dissections.

    Area of Science:

    • Interventional Cardiology
    • Cardiovascular Surgery

    Background:

    • Left main coronary artery dissection is a rare but serious complication of coronary procedures.
    • Urgent revascularization is critical for managing this condition.

    Observation:

    • A single center performed 8,884 coronary procedures between 2010 and 2014.
    • Three cases (0.03%) of iatrogenic left main coronary artery dissection occurred during elective procedures.
    • All dissections were successfully treated with percutaneous coronary intervention (PCI).

    Findings:

    • Percutaneous coronary intervention (PCI) is an effective treatment for iatrogenic left main coronary artery dissections.
    • Successful PCI outcomes were achieved using various techniques.

    Implications:

    • PCI can be a rapid and life-saving intervention for left main coronary artery dissections.
    • This highlights the importance of prompt PCI in managing procedural complications.
    Abstract

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