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A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
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Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery

Burak Acar1, Ali Ahmet Arıkan2, Zeki Talas2

  • 1Department of Cardiology, Kocaeli University Medical Faculty, Kocaeli, Turkey.

The Journal of Tehran Heart Center
|May 5, 2023
PubMed

Insights

Percutaneous coronary intervention can cause serious coronary artery dissection and intramural hematoma. Urgent coronary artery bypass graft surgery was required for a patient experiencing these complications after stenting the left main coronary artery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Percutaneous coronary intervention (PCI) carries risks, including coronary artery perforations and dissections.
  • These complications can lead to life-threatening conditions such as cardiac tamponade or acute vessel closure.
  • Subepicardial hematomas are a potential complication that can cause vessel compression.

Observation:

  • A 59-year-old female presented with chest pain and was diagnosed with non-ST-elevation myocardial infarction.
  • Coronary angiography revealed total occlusion of the diagonal artery.
  • During PCI, the patient developed left main coronary artery dissection and an intramural hematoma.

Findings:

  • Stenting of the left main coronary artery was performed.
  • The hematoma extended through the ostium of the left anterior descending artery, causing further complications.
  • The patient required urgent coronary artery bypass graft (CABG) surgery.

Implications:

  • This case highlights the potential for complex coronary complications during PCI, even with stenting.
  • Prompt surgical intervention (CABG) can be life-saving in managing extensive dissections and hematomas.
  • Careful monitoring and management are crucial for patients experiencing PCI-related coronary complications.

Keywords:
ComplicationCoronaryDissectionIntramural hematomaMyocardial infarctionPercutaneous

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