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Title: | Threading the Eye of the Needle: A Challenging Case of Iatrogenic Spiral Coronary Artery Dissection. | Authors: | McGaw D.;Brown A.J.;Ko B. ;Ihdayhid A.R. | Institution: | (Ihdayhid, Brown, McGaw, Ko) Monash Cardiovascular Research Centre, Monash University and MonashHeart, Monash Health, Clayton, Vic, Australia | Issue Date: | 15-May-2018 | Copyright year: | 2018 | Publisher: | Elsevier Ltd | Place of publication: | United Kingdom | Publication information: | Heart Lung and Circulation. 27 (6) (pp e73-e77), 2018. Date of Publication: June 2018. | Journal: | Heart Lung and Circulation | Abstract: | Catheter induced coronary dissection is an uncommon but potentially catastrophic complication of coronary angiography. We report a case of a 48-year-old female with normal coronary arteries on angiography complicated by extensive catheter induced spiral dissection. Wiring into the true lumen was a formidable challenge as a consequence of the large false lumen obliterating the true lumen. We present management strategies and in particular, highlight the important role of intravascular ultrasound (IVUS) imaging.Copyright © 2018 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.hlc.2018.01.003 | PubMed URL: | 29475592 [http://www.ncbi.nlm.nih.gov/pubmed/?term=29475592] | ISSN: | 1443-9506 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/37412 | Type: | Article | Type of Clinical Study or Trial: | Case series or case report |
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