ArticlePloS one2018
Impact of catheter-induced iatrogenic coronary artery dissection with or without postprocedural flow impairment: A report from a Japanese multicenter percutaneous coronary intervention registry.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Sex-specific inequalities in the use of drug-coated balloons for small coronary artery disease: a report from the BASKET-SMALL 2 trial.Clinical research in cardiology : official journal of the German Cardiac Society · 2024Trial
- Iatrogenic coronary artery dissection: detection, management, and prevention.Frontiers in cardiovascular medicine · 2026Review
- Sex-based Differences in Complications Following Percutaneous Coronary Interventions.Current atherosclerosis reports · 2025Review
- Can Contrast Injections Cause or Propagate Coronary Injuries? Insights From Vessel and Guiding Catheter Hemodynamics.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Successful Bailout of Catheter-Induced Dissection in Acute Myocardial Infarction Resulting From a Nondominant Right Coronary Artery Occlusion.Case reports in cardiology · 2024Article
- Long-term outcomes of periprocedural coronary dissection and perforation for patients undergoing percutaneous coronary intervention in a Japanese multicenter registry.Scientific reports · 2023Article
- Article
- Threading the needle: a case report of double-wiring technique and double intracoronary imaging guidance for a multifenestrated iatrogenic coronary artery dissection.European heart journal. Case reports · 2023Article
- Forewarned Is Forearmed: Machine Learning Algorithms for the Prediction of Catheter-Induced Coronary and Aortic Injuries.International journal of environmental research and public health · 2022Article
- Delayed percutaneous coronary intervention for an extensive iatrogenic left main coronary artery dissection: a case report.Journal of medical case reports · 2022Article
- Factors associated with aorto-ostial stent coverage during intravascular ultrasound-guided percutaneous coronary intervention to severely narrowed non-ostial right coronary artery lesions.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2021Article
- Management of Iatrogenic Coronary Artery Dissections: Failing to Prepare Is Preparing to Fail.JACC. Case reports · 2021Article
- When to use intravascular ultrasound or optical coherence tomography during percutaneous coronary intervention?Cardiovascular diagnosis and therapy · 2020Review
- Novel Porcine Model of Coronary Dissection Reveals the Impact of Impella on Dissected Coronary Arterial Hemodynamics.Frontiers in cardiovascular medicine · 2020Article
- Successful Bail-Out Stenting for Iatrogenic Right Coronary Artery Dissection in a Young Male.JACC. Case reports · 2019Article
- Spontaneous Coronary Artery Dissection Masquerading as Coronary Artery Stenosis in a Young Patient.The American journal of case reports · 2019Article
- Emergency Surgery for Iatrogenic Injuries attributable to Percutaneous Coronary Interventions: When Planning and Time Matter.Journal of the American Heart Association · 2019Article
- Floating wire assisted device retrieval-a novel technique for prevention of guide-related coronary injury.Indian heart journalArticle
- SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup.Journal of the Society for Cardiovascular Angiography & InterventionsArticle
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the ever-increasing complexity of percutaneous coronary intervention (PCI), the incidence, predictors, and in-hospital outcomes of catheter-induced coronary artery dissection (CICAD) is not well defined. In addition, there are little data on whether persistent coronary flow impairment after CICAD will affect clinical outcomes. We evaluated 17,225 patients from 15 participating hospitals within the Japanese PCI registry from January 2008 to March 2016. Associations between CICAD and in-hospital adverse cardiovascular events were evaluated using multivariate logistic regression. Outcomes of patients with CICAD with or without postprocedural flow impairment (TIMI flow ≤ 2 or 3, respectively) were analyzed. The population was predominantly male (79.4%; mean age, 68.2 ± 11.0 years); 35.6% underwent PCI for complex lesions (eg. chronic total occlusion or a bifurcation lesion.). CICAD occurred in 185 (1.1%), and its incidence gradually decreased (p < 0.001 for trend); postprocedural flow impairment was observed in 43 (23.2%). Female sex, complex PCI, and target lesion in proximal vessel were independent predictors (odds ratio [OR], 2.18; 95% confidence interval [CI], 1.53-3.10; OR, 2.19; 95% CI, 1.58-3.04; and OR, 1.55; 95% CI, 1.06-2.28, respectively). CICAD was associated with an increased risk of in-hospital adverse events (composite of new-onset cardiogenic shock and new-onset heart failure) regardless of postprocedural flow impairment (OR, 10.9; 95% CI, 5.30-22.6 and OR, 2.27; 95% CI, 1.20-4.27, respectively for flow-impaired and flow-recovered CICAD). In conclusion, CICAD occurred in roughly 1% of PCI cases; female sex, complex PCI, and proximal lesion were its independent risk factors. CICAD was associated with adverse in-hospital cardiovascular events regardless of final flow status. Our data implied that the appropriate selection of PCI was necessary for women with complex lesions.
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