Related Experiment Video
Updated: Jul 13, 2026
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
[Endocoronary imaging contribution in iatrogenic dissection management]
Pascal Motreff1, Nicolas Combaret1, Thomas Mouyen2
1Service de Cardiologie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Insights
Iatrogenic coronary artery dissection management requires advanced imaging. Optical frequency domain imaging (OFDI) successfully guided treatment for a right coronary artery dissection, ensuring accurate guide wire placement and tear coverage.
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Medical imaging
Background:
- Iatrogenic coronary artery dissections are uncommon but serious complications.
- Managing these dissections is challenging, especially without a guide wire in the true lumen.
- Conventional angiography may be insufficient for precise guidance.
Abstract:
Iatrogenic coronary dissections are rare but potentially serious. Their management is complex, particularly if the dissection occurs without an angioplasty guide in the arterial lumen. In this context, angiography alone is insufficient, and endocoronary imaging is essential (using optical coherence or IVUS) to guide angioplasty when necessary (guide in the true lumen, coverage of the tear). We report here the case of an iatrogenic dissection of the right coronary artery treated with OFDI guiding.
