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World J Cardiol. Jul 26, 2013; 5(7): 258-260
Published online Jul 26, 2013. doi: 10.4330/wjc.v5.i7.258
Published online Jul 26, 2013. doi: 10.4330/wjc.v5.i7.258
Multi-vessel percutaneous coronary intervention in a patient with a type B aortic dissection-transradial or transfemoral?
Tahir Hamid, Tawfiq R Choudhury, Doug Fraser, Department of Cardiology, Manchester Royal Infirmary, Manchester M13 9WL, United Kingdom
Author contributions: Hamid T designed the case report; Hamid T and Choudhury TR wrote the paper; Fraser D was the physician in charge of the patient and reviewed and amended the final draft.
Correspondence to: Dr. Tahir Hamid, Department of Cardiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, United Kingdom. tahirhamid76@yahoo.co.uk
Telephone: +44-79-79187332 Fax: +44-79-79187332
Received: March 19, 2013
Revised: June 17, 2013
Accepted: July 4, 2013
Published online: July 26, 2013
Processing time: 135 Days and 18 Hours
Revised: June 17, 2013
Accepted: July 4, 2013
Published online: July 26, 2013
Processing time: 135 Days and 18 Hours
Core Tip
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.