Iatrogenic Aortocoronary Dissection: Management and Outcomes.

ABSTRACT:

Background

Iatrogenic aortocoronary dissection (IACD) is a rare but potentially life-threatening complication of percutaneous coronary intervention or diagnostic angiography. The increasing complexity of interventions, especially cases involving chronic total occlusions, calcified lesions, and aggressive balloon dilation, has heightened the risk of IACD. It is often underreported, with an estimated incidence of 0.02% to 0.10%.

Case presentation

We present 4 patients with IACD who were managed at our institute in 2024. The right coronary artery was the most frequently involved vessel, and type III IACD was the most common variant. Management strategies included stenting for 50% of patients and conservative management for 50%; no patient required surgical intervention.

Conc

SUBMITTER: Tulluru RS 

PROVIDER: S-EPMC12426668 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature