Catheter-induced in-stented segment coronary dissection

Abstract

Coronary angiography can lead to different kinds of complications. Catheter-induced coronary dissection is one of the most feared of them. It is uncommonly reported and may result in ischemic events ranging from angina to death. We report a case of a woman admitted to the hospital due to progressive effort angina who had a complication during percutaneous coronary intervention not previously reported. It is a usual thinking that a coronary artery stented segment would not be prone to dissect either spontaneously or catheter-induced. This report describes a catheter-induced in-stented segment coronary dissection and a discussion if the dissection line involving the left anterior descending coronary artery stented segment occurred between the stent and the intimal hyperplasia or between the stent and the adventitia. (C) 2010 Elsevier Ireland Ltd. All rights reserved.