TCTAP C-155 Extensive Iatrogenic Dissection of Right Coronary Artery Due to Guiding Catheter Associated with Radial Spasm During Percutaneous Coronary Intervention of Distal Right Coronary Artery- A Nightmare in the CathLab

### Patient initials or identifier number Shamsi ### Relevant clinical history and physical exam A 43 year-old lady who is diabetic, hypertensive and dyslipidemic on treatmentpresented with Non ST elevation Acute Coronary Syndrome and AcceleratedSystemic Hypertension (Hypertensive urgency). BP