Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Coronary Artery Disease V: Interprofessional Care

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Maternal separation increases anxiety-like phenotypes, fear responses, and alters <i>Bdnf</i> methylation in a predator odor exposure model of early life adversity.

Neurobiology of stress·2026

Same author

Reconsidering the use of predicted body weight when setting tidal volumes in female patients.

Intensive care medicine·2026

Same author

Intracoronary imaging demonstrating vasculitis as a rare cause of myocardial infarction: a case report.

European heart journal. Case reports·2026

Same author

Frailty and Coronary Artery Disease: Proposed Pathophysiology and A Complex Interaction Influencing Management and Outcomes in Older Adults.

Heart, lung & circulation·2026

Same author

Optimizing endpoints in early phase clinical trials of acute respiratory distress syndrome.

American journal of respiratory and critical care medicine·2026

Same author

Understanding the cardiology training landscape in Asia-Pacific region.

Postgraduate medical journal·2026

Search research articles

Related Experiment Video

Updated: Sep 20, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

Retrograde Approach to Manage Acute Coronary Closure Due to Dissection.

Mohammed S Al-Omary¹, Ammar Albayati², Nicholas J Collins¹

¹John Hunter Hospital, Newcastle, New South Wales, Australia; University of Newcastle, Newcastle, New South Wales, Australia; Hunter Medical Research Institute, Newcastle, New South Wales, Australia.

JACC. Case Reports

|May 23, 2025

Summary

Iatrogenic coronary artery dissection (ICAD) is a rare but serious complication of percutaneous coronary intervention (PCI). This case demonstrates successful retrograde PCI for ICAD without visible collateral channels, offering a viable alternative to surgery.

Keywords:

coronary artery dissection retrograde technique

More Related Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Published on: April 17, 2021

Related Experiment Videos

Last Updated: Sep 20, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Published on: April 17, 2021

Area of Science:

Interventional Cardiology
Cardiovascular Surgery
Medical Device Technology

Background:

Iatrogenic coronary artery dissection (ICAD) is a rare complication of percutaneous coronary intervention (PCI), occurring in less than 1% of procedures.
ICAD can lead to severe outcomes, including abrupt vessel closure, myocardial infarction, and death.

Observation:

A case of iatrogenic type D dissection of the right coronary artery occurred during PCI.
The dissection was successfully managed using a retrograde percutaneous coronary intervention (PCI) approach.
Crucially, this retrograde PCI was performed without the presence of visible collateral channels.

Findings:

Retrograde PCI can be a feasible and effective treatment for iatrogenic coronary artery dissection (ICAD), even when visible collateral channels are absent.
This approach offers a potential alternative to surgical intervention in complex ICAD cases.
Procedural adaptability and meticulous technique are key to managing such complications.

Implications:

This case expands the understanding of retrograde PCI applications in managing iatrogenic coronary artery dissection (ICAD).
It highlights the importance of considering retrograde PCI as a bailout strategy when antegrade approaches fail, irrespective of visible collaterals.
The findings underscore the potential to avoid emergent surgery for certain complex PCI-related dissections.