Table 3.
Data sets of patients with Dunning dissections. HS hockey stick, EBU extra back-up, AL Amplatz left, RCB right coronary bypass, AR Amplatz right, BMW balance middleweight
| Patient | Type of Dunning dissection | Access | Catheter type | Guidewire | Syntax-II-score | Procedure | Dissection-associated procedure | Type of treatment | Number and type of implanted stents | CTA post intervention time intervall (days) |
Follow-Up CTA (Time interval in months) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | III | Femoral, 7F | HS | Mailman | 30.5 | RCA, elective rotablation, CTO | Intubation/Engagement Guiding catheter | Ostial PCI with sealing | 3 (Xience Pro 2.25/18; 2.25/15; 2.5/15 mm) |
1, 2, 5 | 8 |
| 2 | I | Femoral, 6F | EBU | BMW | 29.4 | LMT/LAD, elective PCI, CCS class III | Engagement of guiding catheter in ostial LMT stenosis | Conservative, wait and see | 2 [Xience Pro 2.75/15; 4.0/12 mm] |
x | 8 |
| 3 | III | Brachial, 6F | AL I | Fielder XT | 36.4 | RCA, elective PCI, CCS class III | Intubation/Engagement Guiding catheter | Ostial PCI with sealing | 1 [Integrity 3.5/12 mm] |
2 | X |
| 4 | I | Femoral, 6F | RCB | PT2 | 34.1 | RCA, elective PCI, CCS class III | Inadequate PCI of the ostial RCA without aortic overlap | Ostial PCI with sealing | 1 [Integrity 3.5/18 mm] |
<24 h | X |
| 5 | III | Femoral, 6F | AL 1 | Pilot 50 | 51.7 | Cardiogenic shock, complete revascularisation of RCA-CTO and LMT/RIVA/CX in one session |
Unknown, postinterventional pericardial hemorrhage (1550 ml) | Conservative, protamin | 6 [Xience Pro 2.75/18; 3.0/23; 2.75/23; 3.0/23; 3.5/18; 2.75/18 mm) |
<24 h, 1 | X |
| 6 | II | Femoral, 6F | AL 1 | Whisper | 37.7 | RCA, elective PCI, CCS class III |
Intubation/Engagement Guiding catheter | Failed rewiring, Conservative, wait and see |
2 [Resolute 2.5/28 mm, Promus 3.0/20 mm] |
<24 h, 1, 5, 9 | X |
| 7 | III | Radial 6F | AR 2 | Whisper | 52.6 | LMT, LAD, RCA Unstable angina |
Intubation/Engagement Guiding catheter | Ostial PCI with sealing | 2 [Promus 3.0/12 mm, Graftmaster 3.5/16 mm] |
1, 2 | 6 |
| 8 | I | Brachial, 6F Femoral, 6F |
AL 1 | Whisper | 20.2 | RCA, elective CTO, CCS class III | Retrograde subintimal wire tracking externalization |
Ostial PCI with sealing | 4 [Promus 2.75/20; 3.0/38, 3.5/20, 4.0/16 mm] |
1 | 4 |
HS hockey stick; EBU extra back-up; AL Amplatz left; RCB right coronary bypass; AR Amplatz right; BMW balance middleweight