Dec 8th 2020

Protected Complex Left Main PCI Complicated by Fracture of Micro-Catheter and Intimal Dissection: Imaging and Management

81-year-old woman with multiple comorbidities presented with NSTEMI and worsening cardiomyopathy in the setting of critical left main and proximal circumflex calcific disease. Surgical revascularization was declined, she underwent Impella-assisted laser atherectomy and PCI of the left main and circumflex arteries. Procedure was complicated by micro-catheter fracture which was retrieved using two guidewires. IVUS after stent deployment showed intimal dissection proximal to the stent in the left main and aorta. Dissected area was successfully stented. 

All authors: Mauricio G. Cohen, MD, FSCAI; Saleh El Dassouki, MD; Alexandre Ferreira, MD; and Devika Kir, MD, MBBS. 

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