Tag Archives: coronary artery dissection
September 2021 Br J Cardiol 2021;28:166–8 doi:10.5837/bjc.2021.041
Post-stenting angiographically silent coronary dissection: OCT comes to the rescue
Roopali Khanna, Anindya Ghosh, Ankit Kumar Sahu, Pravin K Goel
Introduction Coronary angiography and intravascular ultrasound (IVUS) have traditionally been used for diagnosis of stent edge dissection.1 Optical coherence tomography (OCT), with better resolution (12 to 18 µm) as compared with IVUS (150–250 µm), has higher chances of detecting stent edge dissection. Reported incidences of stent edge dissection range from 5% to 23% by IVUS,2 compared with 20% to 56% by OCT.3 Angiographic results are often deceiving and trials have confirmed that OCT changes the initial PCI strategy in a significant number of cases.4 Case summary A 58-year-old, non-diabetic, non-hypertensive, tobacco-chewing man present
June 2011 Br J Cardiol 2011;18:142–4
Coronary artery dissection secondary to cocaine abuse
Ayyaz Sultan, Abdul K Jahangir, Amal A Louis, Rangasamy Muthusamy
Case history A 24-year-old male security guard presented to the emergency department with residual central chest ache. The patient developed central, intense chest tightness radiating to the left shoulder four hours after taking 1 g of cocaine, and presented to our emergency room 12 hours later. He had no risk factors for atherosclerosis nor any prior collagen vascular disorders or autoimmune vasculitis. His electrocardiogram (ECG) revealed antero-lateral ST-elevation myocardial infarction (STEMI). He was haemodynamically stable with no evidence of left ventricular failure. Troponin-I was >50 IU (normal <0.03), with a normal baseline li
September 2002 Br J Cardiol (Acute Interv Cardiol) 2002;9(1):AIC 32
Pergolide and coronary artery dissection
Annalise Geldenhuys, Tony Mourant, Trevor Johnston, John Glynn
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