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Heart, Lung and Circulation
How-To-Do-It| Volume 27, ISSUE 6, e73-e77, June 2018

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Threading the Eye of the Needle: A Challenging Case of Iatrogenic Spiral Coronary Artery Dissection

Published:February 02, 2018DOI:https://doi.org/10.1016/j.hlc.2018.01.003

      Catheter induced coronary dissection is an uncommon but potentially catastrophic complication of coronary angiography. We report a case of a 48-year-old female with normal coronary arteries on angiography complicated by extensive catheter induced spiral dissection. Wiring into the true lumen was a formidable challenge as a consequence of the large false lumen obliterating the true lumen. We present management strategies and in particular, highlight the important role of intravascular ultrasound (IVUS) imaging.

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