Surgical Management of Instrumentation-Induced Coronary Artery Dissection

The mechanism of instrument‐induced coronary artery dissections (IICDs) is briefly presented. Depending on the coronary anatomy, three different situtaions that may occur are distinguished: (1) major coronary branches between the site of dissection and planned anastomosis; (2) no important collatera...

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Veröffentlicht in:	Journal of cardiac surgery 1995-11, Vol.10 (6), p.626-631
Hauptverfasser:	Robicsek, Francis, Bersin, Robert M., Kowalchuk, Glen, Kollar, Andras
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, Dissecting - etiology Aneurysm, Dissecting - surgery Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - instrumentation Atherectomy, Coronary - adverse effects Atherectomy, Coronary - instrumentation Catheterization - adverse effects Catheterization - instrumentation Coronary Aneurysm - etiology Coronary Aneurysm - surgery Coronary Vessels - injuries Coronary Vessels - surgery Humans Methods
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Beschreibung
Zusammenfassung:	The mechanism of instrument‐induced coronary artery dissections (IICDs) is briefly presented. Depending on the coronary anatomy, three different situtaions that may occur are distinguished: (1) major coronary branches between the site of dissection and planned anastomosis; (2) no important collaterals at the same location; and (3) perforation of the coronary artery. Surgical methods applicable to each for the correction of these situations is presented.
ISSN:	0886-0440 1540-8191
DOI:	10.1111/j.1540-8191.1995.tb00652.x