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