CV ASC Registry Education-Seq #9146 (Significant Coronary Artery Dissection)

Seq #9146 (Significant Coronary Artery Dissection)

Video Transcription

Video Summary

A dissection in the context of PCI occurs when contrast materials are seen outside the expected vessel dimensions, extending beyond the lesion. This data element focuses on capturing significant dissections witnessed during the procedure, excluding non-flow-limiting type A/B dissections. It includes type C dissections with ischemia and type D-F dissections like persistent contrast extravasations (C), spiral-filling defects with delayed flow (D), persistent filling defects with delayed flow (E), or filling defects leading to impaired flow and total occlusion (F). The goal is to document and monitor these types of dissections for further management during PCI procedures.

Keywords

PCI dissections

contrast materials

vessel dimensions

ischemia

extravasations