Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach

Iatrogenic aortic dissection is a rare but potentially fatal complication of percutaneous coronary intervention (PCI). Iatrogenic aortic dissection following PCI is rare with most cases reporting dissection originating within the coronary vessels with propagation into the ascending aorta. In this sp...

Full description

Saved in:
Bibliographic Details
Published inCase Reports in Cardiology Vol. 2022; pp. 1 - 4
Main Authors Ahmed, Haris, Brown, Jonathan, Walterscheid, Brooke, Abraham, Phebe, Alam, Junaid, Ahmad, Nabeel, Raza, Syed Arman
Format Journal Article
LanguageEnglish
Published New York Hindawi 26.10.2022
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Acute coronary syndromes
Angioplasty
Aortic dissection
Case Report
Case reports
Catheterization
Ischemia
Medical imaging
Mortality
Stents
Surgery
Transluminal angioplasty
Online AccessGet full text

Cover

More Information
Summary:Iatrogenic aortic dissection is a rare but potentially fatal complication of percutaneous coronary intervention (PCI). Iatrogenic aortic dissection following PCI is rare with most cases reporting dissection originating within the coronary vessels with propagation into the ascending aorta. In this specific case, dissection was without coronary involvement, with dissection extending from the ascending aorta into the descending aorta and iliac vessels. Although PCI via radial approach is associated with fewer vascular complications than with femoral approach, significant adverse outcomes may still occur and require prompt intervention. This case highlights the highly atypical presentation of iatrogenic aortic dissection following cardiac catheterization presenting as acute limb ischemia. In such patients as with ours, immediate surgical intervention is necessary with overall poor prognosis.
Bibliography:Academic Editor: Muhammad Zia-Ul-Haq
ISSN:2090-6404
2090-6412
DOI:10.1155/2022/4846603