ArticleJACC. Case reports2025
Retrograde Approach to Manage Acute Coronary Closure Due to Dissection.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
Funding
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Abstract
backgroundIatrogenic coronary artery dissection (ICAD) is an uncommon and serious complication of percutaneous coronary intervention (PCI), occurring in <1% of cases, potentially leading to abrupt vessel closure, myocardial infarction, or death. CASE SUMMARY: We describe a case of ICAD managed successfully using retrograde PCI without visible collateral channels. The patient had an iatrogenic type D dissection of the right coronary artery, treated effectively with this innovative approach. DISCUSSION: Retrograde PCI has been reported in cases with ICAD and visible septal collateral channels. However, this case demonstrates feasibility even in their absence, avoiding the need for surgical intervention. This case offers valuable insights into managing complex, life-threatening PCI complications and highlights the importance of procedural adaptability to ensure optimal outcomes. TAKE-HOME MESSAGES: Gentle contrast injection and meticulous coronary wiring minimize ICAD risk. When it occurs, retrograde bailout stenting is a viable option if antegrade approaches fail, in the absence of visible collateral branches.
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