Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure.

 Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention.  A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed an asymmetric and significate calcification in the ostium of the right coronary requiring Rotablator (Boston Scientific) procedure complicated by iatrogenic ascending aortic hematoma.

Radial versus femoral access for coronary angiography and intervention is associated with lower patient radiation exposure in high-radial-volume centres: Insights from the RAY'ACT-1 study.

Background: Literature suggests that radial access is associated with higher radiation doses than femoral access.

Aims: To compare patient radiation exposure during coronary angiography (CA) and percutaneous coronary intervention (PCI) with radial versus femoral access.

Methods: RAY'ACT is a nationwide, multicentre, French survey evaluating patient radiation in interventional cardiology.