{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:11:09Z","timestamp":1780312269545,"version":"3.54.0"},"reference-count":8,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Catheter\u2010induced left main coronary artery (LMCA) dissection is a rare but life\u2010threatening complication of coronary angiography requiring rapid recognition and expert management. We report a 72\u2010year\u2010old hypertensive female who developed a National Heart, Lung, and Blood Institute (NHLBI) Type\u2010F dissection of the LMCA extending into both the left anterior descending (LAD) and circumflex (LCx) arteries during guiding catheter engagement for left coronary angiography. The dissection resulted in abrupt LAD occlusion with TIMI 0 flow and acute ST\u2010segment elevation. Intravascular ultrasound (IVUS) revealed that both guidewires had inadvertently tracked into the false lumen, a finding that would have led to catastrophic outcomes if unrecognized. Under real\u2010time IVUS guidance, the operator successfully redirected the wire into the true LAD lumen, followed by drug\u2010eluting stent deployment from LMCA to LAD with proximal optimization technique (POT), LCx balloon angioplasty to decompress the subintimal hematoma, and final kissing balloon inflation restoring TIMI\u2010III flow in both vessels. The patient remained hemodynamically stable and was asymptomatic at 6\u2010month follow\u2010up. This case underscores the critical and potentially life\u2010saving role of IVUS in achieving true\u2010lumen re\u2010entry and successful percutaneous management of complex LMCA dissections without the need for emergency surgical intervention.<\/jats:p>","DOI":"10.1002\/ccd.70584","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:00:40Z","timestamp":1775448040000},"page":"2257-2260","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["IVUS\u2010Guided Rescue of Catheter\u2010Induced Left Main Coronary Artery Dissection"],"prefix":"10.1002","volume":"107","author":[{"given":"Ha\u015fim","family":"T\u00fcner","sequence":"first","affiliation":[{"name":"Department of Cardiology Istanbul Arel University Memorial Bahcelievler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6414-3743","authenticated-orcid":false,"given":"Fuat","family":"Polat","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Education Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130mran","family":"\u00d6n\u00fcr","sequence":"additional","affiliation":[{"name":"Department of Cardiology Istanbul Arel University Memorial Bahcelievler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zge \u00d6zden","family":"Kayhan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Istanbul Arel University Memorial Bahcelievler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6mer","family":"G\u00f6ktekin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Istanbul Arel University Memorial Bahcelievler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,5]]},"reference":[{"issue":"3","key":"e_1_2_6_2_1","first-page":"313","article-title":"Catheter\u2010Induced Left Main Coronary Artery Dissection: Incidence, Predisposing Factors, and Immediate and Long\u2010Term Outcomes","volume":"76","author":"Eshtehardi P.","year":"2010","journal-title":"Catheterization and Cardiovascular Interventions"},{"issue":"5","key":"e_1_2_6_3_1","first-page":"649","article-title":"Iatrogenic Catheter\u2010Induced Ostial Coronary Artery Dissections: Prevalence, Management, and Mortality From a Cohort of 55,968 Patients Over 10 Years","volume":"98","author":"Ramasamy A.","year":"2021","journal-title":"Catheterization and Cardiovascular Interventions: Official Journal of the Society for Cardiac Angiography & Interventions"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"391","article-title":"Intravascular Imaging in Spontaneous Coronary Artery Dissection","volume":"12","author":"Allana M.","year":"2023","journal-title":"Interventional Cardiology Clinics"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-7120-6-24"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.06.014"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200012)51:4<387::AID-CCD3>3.0.CO;2-B"},{"issue":"17","key":"e_1_2_6_8_1","first-page":"1856","article-title":"Intravascular Coronary Imaging Update: Advances, Clinical Applications, and Future Directions","volume":"14","author":"Baracchini A.","year":"2024","journal-title":"Diagnostics (Basel)"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-E-22-00018"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70584","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70584","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70584","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:53:07Z","timestamp":1780311187000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,5]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/ccd.70584"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70584","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,5]]},"assertion":[{"value":"2026-01-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}