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Dissection of Ascending Aorta: A Complication of Transradial Artery Access of Coronary Procedure.

ABSTRACT: Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavian dissection extending into the ascending aorta that occurred during diagnostic catheterization using the radial approach. The patient was successfully treated utilizing conservative management.

SUBMITTER: Khan MZ

PROVIDER: S-EPMC6219284 | biostudies-literature | 2018 Apr-Jun

REPOSITORIES: biostudies-literature

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Dissection of Ascending Aorta: A Complication of Transradial Artery Access of Coronary Procedure.

Khan Muhammad Zubair MZ Guzman Luis L Gharai Leila Rezai LR Exaire Jose E JE

Heart views : the official journal of the Gulf Heart Association 20180401 2

Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavi ...[more]

PMID: 30505397

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