Contribution of optical coherence tomography imaging in management of iatrogenic coronary dissection

• Iatrogenic coronary dissection remains a challenging problem in angiography.
• Endocoronary imaging is helpful for the diagnosis of iatrogenic coronary dissection.
• OCT is a safe option to manage the endovascular treatment of coronary dissection

Iatrogenic coronary dissection is a rare but potentially serious complication of coronary angiography and angioplasty. Treatment with angioplasty guided only by angiography is often difficult. Optical coherence tomography imaging seems to be an interesting technique to lead the management of iatrogenic coronary dissection. Diagnosis can be made by optical coherence tomography; it can also eliminate differential diagnosis. Furthermore, this technique can guide safely the endovascular treatment.