ArticleCureus2024
Iatrogenic Type A Aortic Dissection Following Percutaneous Coronary Intervention.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Successful Endovascular Entry Closure for Retrograde Type A Aortic Dissection Originating from the Right Subclavian Artery: A Case Report.Annals of vascular diseases · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Iatrogenic type A aortic dissection (IAAD) is a rare but life-threatening complication of percutaneous coronary intervention (PCI), often presenting significant therapeutic challenges. A looped guidewire between the right subclavian artery and brachiocephalic artery during coronary angiography (CAG) via right radial artery access can complicate catheter manipulation. This report discusses the case of a 58-year-old hypertensive female patient who developed aortic dissection during PCI, specifically due to wire manipulation at the brachiocephalic loop. The dissection extended retrogradely into the ascending aorta. Despite the severity, the patient remained hemodynamically stable and free from myocardial ischemia. Given her stability, conservative management focusing on blood pressure control was chosen. Serial CT imaging confirmed stabilization of the dissection. The patient underwent successful PCI via the femoral approach at a later date and was discharged the following day. This case underscores the potential for conservative management in select IAAD cases, emphasizing individualized treatment strategies.
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Registered trials
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