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 journalArticlepeer-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 languageEnglish
Pages (from-to)E13-E15
JournalJournal of Invasive Cardiology
Volume27
Issue number1
Publication statusPublished - Jan 1 2015

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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