Published online Jul 26, 2013. doi: 10.4330/wjc.v5.i7.258
Revised: June 17, 2013
Accepted: July 4, 2013
Published online: July 26, 2013
Processing time: 135 Days and 18 Hours
Patients with chronic aortic dissections are at high risk of catheter-induced complications. We report a 41-year-old patient with a type B aortic dissection (Stanford) who underwent successful three-vessel percutaneous coronary intervention via the right radial artery approach following a non-ST elevation myocardial infarction. The patient remained asymptomatic at 6 mo follow-up. Trans-radial approach for coronary interventions can be used safely in patients with Stanford type B aortic dissection without increasing the risk of procedure- related complications in this high-risk group of patients.
Core tip: The case highlights the use of a transradial approach to carry out multivessel percutaneous coronary intervention (PCI) in a patient with a chronic aortic dissection. There is a paucity of literature on this subject. This case discusses the possible mechanisms of dissection propagation with a transfemoral approach and highlights the need for training in both approaches. Decision making in choosing arterial access for PCI in patients with aortic dissection.