ArticleJACC. Case reports2025
Iatrogenic Aortocoronary Dissection: Management and Outcomes.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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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Who cites it
3 citing papers in PubMed.
- Morphology Matters: Persistent Iatrogenic Aorto-Coronary Dissection Despite Initial Sealing Treated with a Stent-in-Stent Bailout Strategy: A Case Report and Literature Review.Reports (MDPI) · 2026Article
- Iatrogenic coronary artery dissection: detection, management, and prevention.Frontiers in cardiovascular medicine · 2026Review
- Dunning type III aortocoronary dissection after percutaneous coronary intervention for chronic total occlusion. A case report.Archivos peruanos de cardiologia y cirugia cardiovascularArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIatrogenic 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.
conclusionsAll patients remained stable and were doing well at follow-up. Our case series provides valuable insights into the risk factors, clinical presentation, and management of IACD, highlighting the importance of prevention, early recognition, and tailored treatment strategies to optimize patient outcomes.
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