Successful Bail-Out Stenting for Iatrogenic Right Coronary Artery Dissection in a Young Male

Abstract

Catheter-induced coronary artery dissection is a serious complication of coronary angiography. Percutaneous intervention is usually indicated in case of large spiral dissections, however, wiring into the true lumen can be challenging. This case reports the novel use of intravascular ultrasound-guided rescue percutaneous coronary intervention for stenting an iatrogenic spiral dissection of the right coronary artery. (Level of Difficulty: Intermediate.)

Keywords

• iatrogenic coronary artery dissection
• intravascular ultrasound
• percutaneous coronary intervention