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...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/4846603 |
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| _version_ | 1850170490630438912 |
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| author | Haris Ahmed Jonathan Brown Brooke Walterscheid Phebe Abraham Junaid Alam Nabeel Ahmad Syed Arman Raza |
| author_facet | Haris Ahmed Jonathan Brown Brooke Walterscheid Phebe Abraham Junaid Alam Nabeel Ahmad Syed Arman Raza |
| author_sort | Haris Ahmed |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9dd3e779f38349a388cd37cb4fd6a9c6 |
| institution | OA Journals |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-9dd3e779f38349a388cd37cb4fd6a9c62025-08-20T02:20:29ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/4846603Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial ApproachHaris Ahmed0Jonathan Brown1Brooke Walterscheid2Phebe Abraham3Junaid Alam4Nabeel Ahmad5Syed Arman Raza6Department of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of CardiologyIatrogenic 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.http://dx.doi.org/10.1155/2022/4846603 |
| spellingShingle | Haris Ahmed Jonathan Brown Brooke Walterscheid Phebe Abraham Junaid Alam Nabeel Ahmad Syed Arman Raza Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach Case Reports in Cardiology |
| title | Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach |
| title_full | Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach |
| title_fullStr | Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach |
| title_full_unstemmed | Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach |
| title_short | Acute Limb Ischemia Caused by Dissection following Percutaneous Coronary Intervention Using Right Radial Approach |
| title_sort | acute limb ischemia caused by dissection following percutaneous coronary intervention using right radial approach |
| url | http://dx.doi.org/10.1155/2022/4846603 |
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