Abstract：
Iatrogenic coronary dissections are rare but potentially serious. Their management is complex, particularly if the dissection occurs without an angioplasty guide in the arterial lumen. In this context, angiography alone is insufficient, and endocoronary imaging is essential (using optical coherence or IVUS) to guide angioplasty when necessary (guide in the true lumen, coverage of the tear). We report here the case of an iatrogenic dissection of the right coronary artery treated with OFDI guiding.
摘要：
医源性冠状动脉夹层很少见，但可能很严重。他们的管理很复杂,特别是如果在动脉腔中没有血管成形术引导的情况下进行解剖。在这种情况下，单靠血管造影是不够的,和冠状动脉内成像是必要的（使用光学相干或IVUS），以指导必要时的血管成形术（引导真腔，眼泪的覆盖范围）。我们在此报告在OFDI指导下治疗的右冠状动脉医源性解剖的情况。
