ArticleMedicine2025
Iatrogenic propagation of left main coronary artery dissection during diagnostic coronary angiography: A case report.
Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleIatrogenic dissection of the left main coronary artery (LMCA) extending to the left anterior descending (LAD) and left circumflex arteries is a very rare but catastrophic complication during coronary intervention. Prompt diagnosis and appropriate management are essential for improving patient outcomes. PATIENT CONCERNS: We report the case of a 78-year-old male with a past medical history of hypertension and previous myocardial infarction who presented to the emergency department with progressively worsening angina over 2 weeks. DIAGNOSES: During coronary angiography, LMCA dissection occurred due to catheter manipulation. The dissection extended to both the LAD and left circumflex arteries, causing hemodynamic instability.
interventionsUsing a provisional stenting strategy, the dissection was successfully treated with percutaneous transluminal coronary angioplasty and stent placement from the LMCA to the proximal and mid-LAD. Intravascular ultrasound-guided optimization confirmed appropriate stent expansion and apposition after the proximal optimization technique. OUTCOMES: The patient's chest pain resolved postprocedure, and he remained hemodynamically stable during a 6-month follow-up with patent stents confirmed on check angiogram. LESSONS: This case highlights the importance of preventing, recognizing, and promptly managing iatrogenic LMCA dissection to prevent fatal outcomes. Intravascular ultrasound-guided optimization plays a crucial role in ensuring optimal stent placement in these high-risk emergency interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.