Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up

Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis and immediate revascularisat...

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Main Authors: Shuvanan Ray, Sunil Jain, Sabyasachi Mitra
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2021-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdf
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spelling doaj-09a284452a3c480bb3ae88fe840b37ba2021-06-17T06:55:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-05-01155OD13OD1410.7860/IJARS/2021/48106:14890Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-upShuvanan Ray0Sunil Jain1Sabyasachi Mitra2Consultant, Chief of Cardiac Intervention, Department of Cardiology, Fortis Hospital, Kolkata, West Bengal, India.Consultant, Department of Cardiology, Anandalok Hospital, Kolkata, West Bengal, India.Registrar, Department of Cardiology, Fortis Hospital, Kolkata, West Bengal, India.Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis and immediate revascularisation is mandatory to manage LMCA dissection in order to avoid worsening of patient’s haemodynamic condition and to re-establish antegrade coronary blood flow. Here, the author report a case of catheter-induced iatrogenic LMCA dissection developed during stenting of a lesion in Left Anterior Descending (LAD) coronary artery of a 32-year-old male patient. The patient was managed by implantation of two Matrix (Sahajanand Medical Technologies, Pvt., Ltd., Surat, India) Bare Metal Stents (BMS) using double barrel technique to treat the dissection in left main coronary bifurcation. The patient was regularly followed-up and even after 12 years of the index procedure, the angiographic data revealed good patency of stents in LMCA without any major cardiac events.https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdfbail-out techniquebifurcationdouble barrel techniquesimultaneous kissing technique
collection DOAJ
language English
format Article
sources DOAJ
author Shuvanan Ray
Sunil Jain
Sabyasachi Mitra
spellingShingle Shuvanan Ray
Sunil Jain
Sabyasachi Mitra
Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
Journal of Clinical and Diagnostic Research
bail-out technique
bifurcation
double barrel technique
simultaneous kissing technique
author_facet Shuvanan Ray
Sunil Jain
Sabyasachi Mitra
author_sort Shuvanan Ray
title Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
title_short Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
title_full Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
title_fullStr Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
title_full_unstemmed Iatrogenic Left Main Coronary Artery Dissection Treated with Bare Metal Stents: A Case with Twelve Years Angiographic Follow-up
title_sort iatrogenic left main coronary artery dissection treated with bare metal stents: a case with twelve years angiographic follow-up
publisher JCDR Research and Publications Private Limited
series Journal of Clinical and Diagnostic Research
issn 2249-782X
0973-709X
publishDate 2021-05-01
description Complications during the course of Percutaneous Coronary Interventions (PCI) are common. One of the complications is iatrogenic Left Main Coronary Artery (LMCA) dissection, which is considered as lethal in nature and prevails in around 0.07% PCI cases. Timely diagnosis and immediate revascularisation is mandatory to manage LMCA dissection in order to avoid worsening of patient’s haemodynamic condition and to re-establish antegrade coronary blood flow. Here, the author report a case of catheter-induced iatrogenic LMCA dissection developed during stenting of a lesion in Left Anterior Descending (LAD) coronary artery of a 32-year-old male patient. The patient was managed by implantation of two Matrix (Sahajanand Medical Technologies, Pvt., Ltd., Surat, India) Bare Metal Stents (BMS) using double barrel technique to treat the dissection in left main coronary bifurcation. The patient was regularly followed-up and even after 12 years of the index procedure, the angiographic data revealed good patency of stents in LMCA without any major cardiac events.
topic bail-out technique
bifurcation
double barrel technique
simultaneous kissing technique
url https://www.jcdr.net/articles/PDF/14890/48106_CE[Ra1]_F[IK]_PF1(AB_SL)_PN(KM).pdf
work_keys_str_mv AT shuvananray iatrogenicleftmaincoronaryarterydissectiontreatedwithbaremetalstentsacasewithtwelveyearsangiographicfollowup
AT suniljain iatrogenicleftmaincoronaryarterydissectiontreatedwithbaremetalstentsacasewithtwelveyearsangiographicfollowup
AT sabyasachimitra iatrogenicleftmaincoronaryarterydissectiontreatedwithbaremetalstentsacasewithtwelveyearsangiographicfollowup
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