A Case of an Occlusive Right Coronary Artery Dissection After Stent Implantation: Dilemmas and Challenges

作者：Panoulas Vasileios F^*; Figini Filippo; Giustino Gennaro; Carlino Mauro; Chieffo Alaide; Latib Azeem; Colombo Antonio

来源：Journal of Invasive Cardiology, 2015, 27(1): E13-E15.

• drug-eluting stent
• coronary dissection
• management
• acute coronary syndrome
• ST elevation

A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.

• 出版日期2015-1