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Short- and long-term evolution of unstented nonocclusive coronary dissection after coronary angioplasty

Alberto Cappelletti, MD^a, Alberto Margonato, MD, FESC^a, Giuseppe Rosano, MD, FACC^a, Alessandra Mailhac, MD^a, Fabrizio Veglia, MD^*, Antonio Colombo, MD, FACC and Sergio Lorenzo Chierchia, MD, FESC, FACC^a

^a Division of Cardiology, Istituto Scientifico H San Raffaele, Milan, Italy
^* Unit of Biostatistics, Istituto Scientifico H San Raffaele, Milan, Italy
Unit of Interventional Cardiology, Istituto Scientifico H San Raffaele, Milan, Italy

View larger version (20K): [in a new window]   Figure 1 Evolution of the dissections during the first 24 h and at six-month follow-up. A, B, C, D = degree of dissection (see text for explanation).

View larger version (69K): [in a new window]   Figure 2 (A) Eccentric stenosis of the proximal segment of the left anterior descending coronary artery; (B) PTCA final result: a type B dissection is observed at the site of dilation. After 24 h this result was unchanged; (C) angiography six-months after the procedure.