Multiple MGuard stent implantation to treat massive right coronary artery dissection during primary coronary angioplasty

J Cardiovasc Med (Hagerstown). 2011 May;12(5):356-60. doi: 10.2459/JCM.0b013e328334092d.

Abstract

Here we report a case of a 79-year-old woman with inferior myocardial infarction, transferred to our cath lab to perform a primary percutaneous coronary intervention (PPCI). During the procedure, a massive dissection complicated the thrombotic lesion of the right coronary artery (RCA). In this case, we decided to use the MGuard stent to treat both the large dissection and the thrombotic lesion. MGuard stent is a combination of a coronary stent merged with an embolic protection device. After multiple MGuard stent implantation we obtained a complete resolution of the coronary dissection obtaining a patent RCA with normal antegrade flow.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary* / adverse effects
  • Angioplasty, Balloon, Coronary* / instrumentation
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology
  • Aortic Dissection / therapy*
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / etiology
  • Coronary Aneurysm / therapy*
  • Coronary Angiography
  • Coronary Thrombosis / complications
  • Coronary Thrombosis / diagnostic imaging
  • Coronary Thrombosis / therapy*
  • Embolic Protection Devices*
  • Female
  • Humans
  • Inferior Wall Myocardial Infarction / diagnostic imaging
  • Inferior Wall Myocardial Infarction / etiology
  • Inferior Wall Myocardial Infarction / therapy*
  • Prosthesis Design
  • Stents*
  • Treatment Outcome