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Management of Catheter-Induced Coronary Artery Dissection Leading to Extensive Bidirectional Intramural Hematoma

Ashwani K Sharma1, Sanjeeb Roy2, Anurodh Dadarwal3

  • 1Department of the Cardiology, Fortis Escorts Hospital, Jaipur, Rajasthan, India.

JACC. Case Reports
|March 7, 2025
PubMed

Insights

Percutaneous coronary interventions can cause artery dissection or hematoma. Prompt recognition and bailout stenting are crucial for managing these complications.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Atherosclerotic coronary artery disease is a growing epidemic.
  • Percutaneous coronary interventions (PCI) are increasingly common.
  • PCI can lead to complications like coronary artery dissection and intramural hematoma.

Keywords:
bail out stentingcatheter-induced coronary artery dissectioncoronary intramural hematomahydraulic forceintramural hematomamicro fenestrationsmultimodality imagingretrograde extension

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