Assessment of a Novel Angiographic Image Stabilization System for Percutaneous Coronary Intervention

Boyle, Andrew; Chan, Michael; Dib, Joud; Kapur, Navin K.; Kraft, Sandra E; Vaillant, Régis; Whiting, James S.; Resar, Jon R.

doi:10.1111/j.1540-8183.2007.00242.x

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…The incidence of CICAD is low, estimated to be less than the 0.1% range, although the true frequency is likely under-reported [ 12 ]. In a 10-year retrospective study, with 56,968 patients undergoing coronary angiography, half of the cases of iatrogenic catheter-related dissections occurred more frequently in the RCA, with most of them caused by guiding catheters [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Aorto-Coronary Dissection: A Rare Complication With Fatal Prognosis

Pamulapati,

Taduru,

Janga

et al. 2024

Cureus

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Iatrogenic aorto-coronary dissection (IACD) is a rare complication of interventional and surgical cardiac procedures, with a very high mortality burden. Here, we report the case of a 71-year-old female with a past medical history of paroxysmal atrial fibrillation, mild to moderate aortic insufficiency, hypertension, and hyperlipidemia, who presented with classic anginal symptoms and underwent a cardiac catheterization, during which she suffered Iatrogenic right coronary artery (RCA) dissection and ascending aortic dissection resulting in sudden death. IACD is a rare complication, with a fatal prognosis. Coronary angiography and percutaneous coronary intervention (PCI) are considered safe, with a low risk of major complications including coronary perforations, and a very low risk of Iatrogenic aortic dissection (IAD). The coronary injury occurs more commonly during PCI of chronic total occlusion (CTO) or RCA interventions and can extend to the aortic root. IAD is often fatal and has worse outcomes than spontaneous dissection.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic Aorto-Coronary Dissection: A Rare Complication With Fatal Prognosis

Pamulapati,

Taduru,

Janga

et al. 2024

Cureus

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“…We present a rare case of a very long segment (>50 mm) coronary dissection during revascularisation of the osteoproximal LAD chronic total occlusion. The incidence of iatrogenic coronary artery dissections is less than 0.1%, but the true incidence is underreported [ 2 , 3 ]. Long-segment coronary artery dissections are less commonly described in the literature.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention

Mahanta,

Parhi,

Gadade

et al. 2023

Cureus

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Coronary artery dissection can occur after post-balloon inflation; however, a very long-segment coronary dissection (>50 mm) is a rare occurrence during routine coronary interventions. Here, we report an extremely rare case of long-segment coronary dissection in the left anterior descending coronary artery (LAD) induced during antegrade revascularization of chronic total occlusion of osteoproximal LAD with stiffer Gaia II wire. The patient had excruciating angina with hemodynamic collapse and acute pulmonary edema; the patient was rescued with long-segment coronary revascularization.

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“…3 Although operative death is relatively rare, damage to the coronary circulation may result in rapid hemodynamic deterioration and complications that affect early surgical outcomes such as arrhythmia, myocardial dysfunction, ischemia, or even coronary artery dissection. 4 Retrograde cardioplegia is currently adopted by surgeons around the world. However, coronary sinus injury is a serious but rare complication of retrograde cardioplegia.…”

Section: Discussionmentioning

confidence: 99%

Novel Cardioplegia Delivery in Patients with Severe Aortic Regurgitation

Wang

et al. 2020

Thorac Cardiovasc Surg

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AbstractDuring aortic valve replacement (AVR) in patients with severe aortic regurgitation (AR), repeated delivery of cardioplegia into the coronary ostia using a routine infusion cannula may induce coronary ostial injury. This study aims to introduce a new no-touch delivery method with reduced time and similar or better outcomes. Preliminary results have shown that no-touch cardioplegia delivery method was a simple, safe, and effective approach for cardioplegia infusion during AVR in patients with severe AR.

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Assessment of a Novel Angiographic Image Stabilization System for Percutaneous Coronary Intervention

Abstract: Image stabilization centered on the region of interest was considered helpful in a small subset of patients, particularly the complex PCI patients. However, no differences in objective parameters could be demonstrated.

Cited by 5 publications

References 7 publications

Iatrogenic Aorto-Coronary Dissection: A Rare Complication With Fatal Prognosis

Iatrogenic Aorto-Coronary Dissection: A Rare Complication With Fatal Prognosis

An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention

Novel Cardioplegia Delivery in Patients with Severe Aortic Regurgitation

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