English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Zendy Plus

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Zendy Tools

Zendy Open

Coronary artery dissection is common after balloon angioplasty, few of which may be catastrophic. Here, we report a case of a76-year-old male who had diffuse disease of proximal left anterior descending artery (LAD). LAD was wired with runthrough (Terumo, Japan) and sequentially dilated with 1.5 × 10 and 2 × 10 mm Sapphire semicompliant balloon. After balloon dilatation, dissection at the distal edge of lesion was noticed. As stent could not be tracked and pushed along the lesion as guide catheter used to back out, the guide catheter was changed to extra backup (EBU). This time, wire was seen into the false lumen along with a long segment spiral dissection spreading downward and occluding the circumflex proximally as left circumflex artery was not visible. Dissection of LAD was first sealed with 2.75 × 38 mm Xience Prime everolimus eluting stent. LCx was carefully wired using Sion wire and stented with 2.75 × 23 mm Xience Prime stent, thereby sealing the dissection and restoring LCx. Sion wire in LAD was carefully manuvoured and parked distally into true lumen. The dissection flap was still visible starting from the distal edge of the deployed stent which was sealed with another 2.5 × 28 mm Xience Prime stent achieving TIMI III flow in both LAD and LCx.

Balloon Induced Dissection of Left Anterior Descending Artery and its Bidirectional Progression Involving Left Circumflex Artery