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. 2025 Apr 20;7(7):964-966.
doi: 10.1016/j.cjco.2025.04.009. eCollection 2025 Jul.

Intravascular Ultrasound-Guided Stenting for Iatrogenic Aortocoronary Dissection: The Art of "Needlework"

Quentin Liabot  1   2 , Jérémie Macia  2   3 , Stéphane Fournier  1 , Guillaume Testu de Balincourt  2 , Aurelia Zimmerli  1 , Marion Dupré  1 , Victor Weerts  1 , Olivier Muller  1 , Adil Salihu  1 , Louis Viallard  2 , David Meier  1
Affiliations

Intravascular Ultrasound-Guided Stenting for Iatrogenic Aortocoronary Dissection: The Art of "Needlework"

Quentin Liabot et al. CJC Open. .
No abstract available

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Figures

Figure 1
Figure 1
Intravascular ultrasound (IVUS)-guided stenting for iatrogenic aortocoronary dissection. (A) Iatrogenic aortocoronary dissection after guiding-catheter engagement into the right coronary artery. (B) “Apple turnover–like appearance” of the true lumen (TL; yellow arrows) and the first guidewire with the IVUS catheter in the false lumen (FL; red arrows). (C) The second guidewire (green arrows) into the TL at 2 different levels of the right coronary artery, with the posterior shadow cone. (D) The IVUS catheter on the second guidewire insert in the TL (yellow arrow). (E) Final angiogram showing thrombolysis in myocardial infarction (TIMI) 3 coronary blood flow, without extension of the aortic root hematoma.
See this image and copyright information in PMC

References

    1. Sanchez-Jimenez E., Levi Y., Roguin A. Iatrogenic aortocoronary dissection during right coronary artery procedures: a systematic review of the published literature. J Soc Cardiovasc Angiogr Interv. 2022;1 - PMC - PubMed
    1. Harding S.A., Fairley S.L. Catheter-induced coronary dissection. JACC Case Rep. 2019;1:113–115. - PMC - PubMed
    1. Gasparini G.L., Bollati M., Chiarito M., et al. SUOH 03 guidewire for the management of coronary artery dissection: insights from a multicenter registry. J Interv Cardiol. 2023;2023 - PMC - PubMed

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