Aorto-coronary dissection complicating coronary arteriography

Coronary artery dissection and perforation complicating percutaneous coronary intervention.

Percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease. Despite its numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic coronary artery dissection and perforation. The incidence of these complications has been augmented by the development of coronary interventional devices i...

Significant left main stenosis following asymptomatic dissection during coronary arteriography.

The natural history of minimally symptomatic or asymptomatic iatrogenic coronary dissection is not well-defined. While generally considered a serious and life-threatening complication of coronary arteriography, there have been some reported cases of spontaneous resolution without residuals. We describe a case demonstrating that coronary artery dissection, even when initially asymptomatic, may l...

Safety of coronary arteriography.

The mortality and morbidity of coronary arteriography are presented with particular reference to the relative safety of the Sones as compared with the Judkins technique. There were 6 deaths in 400 investigations (i *5%), and all occurred with the3Judkins technique. The morbidity is analysedfor the last 250 investigations; cardiac infarction and serious dysrhythmias were more common with the Jud...

Selective coronary arteriography.

The technique of selective coronary arteriography, as described originally by Sones, was employed in 255 patients. Successful catheterization of both coronary arteries was carried out in 88% of these patients, and in the last 100 examinations both coronary arteries were entered in 95 patients. Selective coronary arteriography is a useful diagnostic tool but is a potentially hazardous form of ex...

Technics of coronary arteriography.