TY - JOUR
T1 - The radiographic appearance of coronary artery dissection
T2 - A decision-making dilemma
AU - Gutierrez, Fernando R.
AU - McKnight, Robert C.
AU - Ludbrook, Philip A.
AU - Gowda, Siddhesh
AU - Tiefenbrunn, Alan J.
PY - 1984/4
Y1 - 1984/4
N2 - The appearance of acute iatrogenic dissection of the coronary arteries during coronary angiography is described in five patients. Specific signs of dissection include: 1) intimal flap, 2) delayed flow, 3) loss of side branches, 4) periostial contrast "puddling," and 5) unusually small size coronary artery with atypical smooth walls. Recognition of the radiographic patterns of this complication should permit distinction from coronary spasm, thrombosis, and embolization. Recent advent of alternate forms of therapy (streptokinase infusion, angioplasty) makes it imperative to precisely diagnose the dissection to avoid possible catastrophic results.
AB - The appearance of acute iatrogenic dissection of the coronary arteries during coronary angiography is described in five patients. Specific signs of dissection include: 1) intimal flap, 2) delayed flow, 3) loss of side branches, 4) periostial contrast "puddling," and 5) unusually small size coronary artery with atypical smooth walls. Recognition of the radiographic patterns of this complication should permit distinction from coronary spasm, thrombosis, and embolization. Recent advent of alternate forms of therapy (streptokinase infusion, angioplasty) makes it imperative to precisely diagnose the dissection to avoid possible catastrophic results.
KW - Aortography, aortic dissection
KW - Cardiac catheterization
KW - Coronary arteries, dissection
KW - Coronary arteriography
UR - http://www.scopus.com/inward/record.url?scp=0021322308&partnerID=8YFLogxK
U2 - 10.1007/BF02552681
DO - 10.1007/BF02552681
M3 - Article
C2 - 6733727
AN - SCOPUS:0021322308
SN - 0174-1551
VL - 7
SP - 65
EP - 70
JO - Cardiovascular and Interventional Radiology
JF - Cardiovascular and Interventional Radiology
IS - 2
ER -