The incidence of iatrogenic aortocoronary dissection during percutaneous coronary intervention (PCI) has been reported approximately 0.1%.[1] Although rare, it may have catastrophic consequences due to rapidly impaired antegrade coronary blood f low as a result of unpredictable nature of the dissection f lap.[2] Therefore, an urgent revascularization strategy should be considered as the appropr...

Acute iatrogenic arterial dissection is a known complication of endovascular techniques and can be treated with prolonged ballooning, stent placement, or balloon fenestration. Treatment of common femoral artery (CFA) dissection needs special attention because of the potential compromise of either the deep or superficial femoral artery origin and the enhanced mechanical stress to arteries in the...

OBJECTIVE Preprocedure meetings have become more commonplace in medicine but are not performed routinely in the cardiac catheterization laboratory. We sought to create, implement, and evaluate a preprocedural meeting in the form of a checklist for the cardiac catheterization laboratory. Staff attitudes and perceptions toward safety and sense of teamwork were also analyzed. DESIGN All procedur...

Iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication. We herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. Admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. She was intubated and resuscitated with an Epinephrine infusio...

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PURPOSE To evaluate our results of stent-graft implantation for the endovascular treatment of peripheral vascular lesions. MATERIALS AND METHODS Seventeen patients underwent repair of iatrogenic, traumatic, or spontaneous vascular lesions by means of endovascular stent-grafts. The study cases consisted of 10 cardiac catheterization-induced femoral arteriovenous fistulas (AVFs) located between...

Although the utility of diagnostic cardiac catheterization in the clinical setting has diminished over the last years, due to the emergence of noninvasive imaging modalities, such as echocardiography, magnetic resonance imaging and computed tomography, catheterization for diagnostic reasons still constitutes a valuable tool in certain parts in the workup of pediatric heart disease. As a result,...

background pulmonary arterial hypertension (pah) is a serious complication of unrepaired congenital left-to-right shunts. the final consequence is right ventricular (rv) systolic dysfunction and reversal of shunt. objectives the aim of this study was to evaluate the clinical course and paraclinical findings in a group of patients with pah associated with congenital heart disease (pah-chd). we a...