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Neugebauer P et al.  
Guiding Catheter-Induced Dissection with the Closure of the Last Patent Bypass Graft – A Case Report

Journal für Kardiologie - Austrian Journal of Cardiology 2013; 20 (7-8): 222-225

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Abbildung
 
Catheter-Induced Dissection
Abbildung 1: Aortography: closure of saphenous venous grafts for LCx and RCA behind proximal anastomoses.


Keywords: angiographyKardiologiesaphenous venous graftSVG
 
 
Catheter-Induced Dissection
Abbildung 2: Angio of LIMA: 90% stenosis in LIMA-LAD anastomosis.


Keywords: angiographyKardiologieleft internal mammary arteryLIMA
 
 
Catheter-Induced Dissection
Abbildung 3: Angio of LCA: 80 % stenosis of distal left main stem (LMS), 90% stenosis of proximal LAD, closure of middle LAD and LCx.


Keywords: angiographyKardiologieleft main stemLMSStenosis
 
 
Catheter-Induced Dissection
Abbildung 4: Angio of RCA: diffuse 80–90% disease of proximal and middle part, small periphery.


Keywords: angiographyKardiologieRCAright coronary artery
 
 
Catheter-Induced Dissection
Abbildung 5: PCI of LIMA: guiding catheter-induced occluding dissection in the proximal part.


Keywords: angiographyKardiologieleft internal mammary arteryLIMAPCIpercutaneous coronary intervention
 
 
Catheter-Induced Dissection
Abbildung 6: PCI of LIMA: wiring of true lumen of dissected LIMA with PT2 LS wire.


Keywords: angiographyKardiologieleft internal mammary arteryLIMAPCIpercutaneous coronary intervention
 
 
Catheter-Induced Dissection
Abbildung 7: PCI: long stenting of proximal LIMA, without impact on flow.


Keywords: angiographyKardiologieleft internal mammary arteryLIMAPCIpercutaneous coronary intervention
 
 
Catheter-Induced Dissection
Abbildung 8: PCI: final result – “full metal jacket” from LIMA-LAD anastomosis to the origin of LIMA, TIMI 3.


Keywords: angiographyKardiologieLIMA-LAD anastomosisPCIpercutaneous coronary intervention
 
 
Catheter-Induced Dissection
Abbildung 9: Follow-up angio 4 months after PCI: 60% diffuse in-stent restenosis in tortuous middle part of LIMA, optimal result in LIMA-LAD anastomosis.


Keywords: angiographyKardiologieLIMA-LAD anastomosisPCIpercutaneous coronary intervention
 
 
 
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