ArticleCureus2025
Iatrogenic Coronary Dissection: From an Unexpected Diagnosis to a Lifesaving Intervention.
Article in Cureus, 2025. 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.
- From bad to worse: a case report of bilateral iatrogenic coronary dissection complicated with cardiac arrest.European heart journal. Case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Iatrogenic coronary dissection occurs when the wall of a coronary artery is mechanically ruptured during coronary angiography or angioplasty. Although this complication is uncommon, it can be dangerous and may rapidly progress to a life-threatening condition. We describe the successful thrombolytic treatment of a 62-year-old ex-smoker who was admitted with an antero-septo-apical ST-elevation myocardial infarction. During the procedure, an extra backup 3.5 guiding catheter was inadvertently engaged in the ostium of the right coronary artery (RCA), causing an iatrogenic dissection that required immediate stenting, as confirmed by follow-up coronary angiography. This case illustrates the challenges in diagnosing and managing this condition. While angiography remains the primary diagnostic tool for identifying the intimal flap, treatment should be tailored to the patient's clinical presentation. Management options range from simple observation to stenting or, in severe cases, bypass surgery. The RCA is particularly susceptible to this complication because of its anatomical features and risk factors, such as female sex and deep intubation. This case underscores the importance of meticulous technique during endovascular procedures and maintaining a high level of vigilance for any unusual post-procedural presentation.
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Registered trials
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