Percutaneous Coronary Intervention for the Treatment of Spontaneous Coronary Artery Dissection.
Cutting balloon
Myocardial infarction
Percutaneous coronary intervention
Spontaneous coronary artery dissection
Stent
Journal
Interventional cardiology clinics
ISSN: 2211-7466
Titre abrégé: Interv Cardiol Clin
Pays: Netherlands
ID NLM: 101615153
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
entrez:
6
3
2019
pubmed:
6
3
2019
medline:
7
1
2020
Statut:
ppublish
Résumé
Most patients presenting with myocardial infarction owing to spontaneous coronary artery dissection can be managed conservatively. Revascularization should be pursued in the presence of high-risk features. Percutaneous coronary intervention is preferred over coronary artery bypass grafting, except in left main dissection. Interventionists should exercise extreme caution and meticulous techniques. Using a cutting balloon to fenestrate and decompress the false lumen is appealing and may avoid the need for long stents. Other percutaneous approaches may also be feasible, and interventionists should be familiar with these various approaches when embarking on spontaneous coronary artery dissection percutaneous coronary intervention.
Identifiants
pubmed: 30832942
pii: S2211-7458(18)30089-0
doi: 10.1016/j.iccl.2018.11.008
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
199-208Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.