A case of an occlusive right coronary artery dissection after stent implantation: Dilemmas and challenges

Vasileios F. Panoulas; Filippo Figini; Gennaro Giustino; Mauro Carlino; Alaide Chieffo; Azeem Latib; Antonio Colombo

A case of an occlusive right coronary artery dissection after stent implantation: Dilemmas and challenges

Vasileios F. Panoulas, Filippo Figini, Gennaro Giustino, Mauro Carlino, Alaide Chieffo, Azeem Latib, Antonio Colombo

Research output: Contribution to journal › Review article › peer-review

Abstract

A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.

Original language	English (US)
Pages (from-to)	E13-E15
Journal	Journal of Invasive Cardiology
Volume	27
Issue number	1
State	Published - Jan 1 2015
Externally published	Yes

Keywords

Acute coronary syndrome
Coronary dissection
Drug-eluting stent
Management
ST elevation

ASJC Scopus subject areas

General Medicine

Cite this

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abstract = "A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the {"}rescue STAR{"} technique as a last resort.",

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AU - Panoulas, Vasileios F.

AU - Figini, Filippo

AU - Giustino, Gennaro

AU - Carlino, Mauro

AU - Chieffo, Alaide

AU - Latib, Azeem

AU - Colombo, Antonio

PY - 2015/1/1

Y1 - 2015/1/1

N2 - A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.

AB - A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.

KW - Acute coronary syndrome

KW - Coronary dissection

KW - Drug-eluting stent

KW - Management

KW - ST elevation

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A case of an occlusive right coronary artery dissection after stent implantation: Dilemmas and challenges

Abstract

Keywords

ASJC Scopus subject areas

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