Open AccessMulti-vessel percutaneous coronary intervention in a patient with a type B aortic dissection-transradial or transfemoral?
Author(s) -
Tahir Hamid,
Tawfiq Choudhury,
Doug Fraser
Publication year - 2013
Publication title -
world journal of cardiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8462
DOI - 10.4330/wjc.v5.i7.258
Subject(s) - medicine , aortic dissection , asymptomatic , percutaneous coronary intervention , myocardial infarction , percutaneous , cardiology , radial artery , surgery , dissection (medical) , stent , artery , aorta
Patients with chronic aortic dissections are at high risk of catheter-induced complications. We report a 41-year-old patient with a type B aortic dissection (Stanford) who underwent successful three-vessel percutaneous coronary intervention via the right radial artery approach following a non-ST elevation myocardial infarction. The patient remained asymptomatic at 6 mo follow-up. Trans-radial approach for coronary interventions can be used safely in patients with Stanford type B aortic dissection without increasing the risk of procedure- related complications in this high-risk group of patients.