ArticleJACC. Case reports2026
Traumatic Coronary Artery Dissection Treated With Prolonged Perfusion Balloon Inflation.
Article in JACC. Case reports, 2026. 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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10 authors.
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Abstract
backgroundTraumatic coronary artery dissection is a rare complication of blunt chest trauma and may be obscured by concomitant injuries. CASE SUMMARY: A 69-year-old woman struck by a car developed inferior ST-segment elevation on hospital day 17. Angiography showed distal right coronary artery (RCA) occlusion and a long mid-RCA dissection; intravascular ultrasound revealed noncontiguous "skip" lesions. To avoid stenting because of high bleeding risk (HBR) due to subarachnoid hemorrhage, repeated prolonged low-pressure inflations using a perfusion balloon restored coronary flow without stent implantation. Given the HBR and stentless strategy, she was managed on aspirin monotherapy. On postprocedure day 37, coronary computed tomography angiography showed a patent RCA with healing. DISCUSSION: This case underscores a stentless strategy using perfusion-balloon-assisted prolonged inflation when HBR precludes dual antiplatelet therapy. TAKE-HOME MESSAGE: A high index of suspicion for traumatic coronary artery dissection is needed after blunt trauma; perfusion balloon with prolonged inflation can restore flow without stenting in patients with HBR.
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