Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection

A 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent d...

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Main Authors:	Yasushi Ueki, MD, Lorenz Räber, MD, PhD, Raminta Kavaliauskaite, MD, Tatsuhiko Otsuka, MD, George C.M. Siontis, MD, PhD
Format:	Article
Language:	English
Published:	Elsevier 2020-05-01
Series:	JACC: Case Reports
Subjects:	acute myocardial infarction dissection intramural hematoma optical coherence tomography percutaneous coronary intervention
Online Access:	http://www.sciencedirect.com/science/article/pii/S2666084920303272

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spelling	doaj-3f16a92b647b4eb3b85a5682f00092782021-06-07T06:55:51ZengElsevierJACC: Case Reports2666-08492020-05-0125707708Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent DissectionYasushi Ueki, MD0Lorenz Räber, MD, PhD1Raminta Kavaliauskaite, MD2Tatsuhiko Otsuka, MD3George C.M. Siontis, MD, PhD4Department of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandDepartment of Cardiology, Bern University Hospital, Bern, SwitzerlandAddress for correspondence: Dr. George C.M. Siontis, Department of Cardiology, Bern University Hospital, 3010 Bern, Switzerland.; Department of Cardiology, Bern University Hospital, Bern, SwitzerlandA 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent dissection. We highlight that in-stent dissection, although generally considered a benign finding, can extend and cause intramural hematoma, resulting in coronary artery occlusion. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920303272acute myocardial infarctiondissectionintramural hematomaoptical coherence tomographypercutaneous coronary intervention
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD
spellingShingle	Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection JACC: Case Reports acute myocardial infarction dissection intramural hematoma optical coherence tomography percutaneous coronary intervention
author_facet	Yasushi Ueki, MD Lorenz Räber, MD, PhD Raminta Kavaliauskaite, MD Tatsuhiko Otsuka, MD George C.M. Siontis, MD, PhD
author_sort	Yasushi Ueki, MD
title	Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
title_short	Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
title_full	Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
title_fullStr	Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
title_full_unstemmed	Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection
title_sort	coronary artery occlusion caused by intramural hematoma due to in-stent dissection
publisher	Elsevier
series	JACC: Case Reports
issn	2666-0849
publishDate	2020-05-01
description	A 54-year-old man developed ST-segment elevation myocardial infarction 1 week after percutaneous coronary intervention of the left anterior descending artery. Optical coherence tomography at the emergent percutaneous coronary intervention revealed an intramural hematoma extending from the in-stent dissection. We highlight that in-stent dissection, although generally considered a benign finding, can extend and cause intramural hematoma, resulting in coronary artery occlusion. (Level of Difficulty: Intermediate.)
topic	acute myocardial infarction dissection intramural hematoma optical coherence tomography percutaneous coronary intervention
url	http://www.sciencedirect.com/science/article/pii/S2666084920303272
work_keys_str_mv	AT yasushiuekimd coronaryarteryocclusioncausedbyintramuralhematomaduetoinstentdissection AT lorenzrabermdphd coronaryarteryocclusioncausedbyintramuralhematomaduetoinstentdissection AT ramintakavaliauskaitemd coronaryarteryocclusioncausedbyintramuralhematomaduetoinstentdissection AT tatsuhikootsukamd coronaryarteryocclusioncausedbyintramuralhematomaduetoinstentdissection AT georgecmsiontismdphd coronaryarteryocclusioncausedbyintramuralhematomaduetoinstentdissection
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Coronary Artery Occlusion Caused by Intramural Hematoma Due to In-Stent Dissection

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