Spontaneous coronary artery dissection percutaneous coronary intervention: Difference between revisions
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==Percutaneous Coronary Intervention== | ==Percutaneous Coronary Intervention== | ||
Conservative management should be first choice if | Conservative management should be first choice if [[emergent revascularization]] is not necessary.<ref name="pmid25406203">{{cite journal| author=Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS et al.| title=Spontaneous coronary artery dissection: revascularization versus conservative therapy. | journal=Circ Cardiovasc Interv | year= 2014 | volume= 7 | issue= 6 | pages= 777-86 | pmid=25406203 | doi=10.1161/CIRCINTERVENTIONS.114.001659 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25406203 }} </ref> | ||
[[PCI]] is indicated in the presence of ongoing [[myocardial ischemia]] or [[myocardial infarction]].<ref name="pmid21041853">{{cite journal |author=Adlam D, Cuculi F, Lim C, Banning A |title=Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era |journal=[[The Journal of Invasive Cardiology]] |volume=22 |issue=11 |pages=549–53 |year=2010 |pmid=21041853 |doi= |url=}}</ref> [[Drug eluting stent]]s (DES) are routinely used in the management of SCAD. However, their impact on long-term outcomes has not been assessed yet in clinical studies. | [[PCI]] is indicated in the presence of ongoing [[myocardial ischemia]] or [[myocardial infarction]].<ref name="pmid21041853">{{cite journal |author=Adlam D, Cuculi F, Lim C, Banning A |title=Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era |journal=[[The Journal of Invasive Cardiology]] |volume=22 |issue=11 |pages=549–53 |year=2010 |pmid=21041853 |doi= |url=}}</ref> [[Drug eluting stent]]s (DES) are routinely used in the management of SCAD. However, their impact on long-term outcomes has not been assessed yet in clinical studies. | ||
Revision as of 14:18, 30 November 2017
Spontaneous Coronary Artery Dissection Microchapters |
Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Type 1 Type 2A Type 2B Type 3 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A. Arzu Kalayci, M.D. [2]
Synonyms and keywords: SCAD
Overview
Percutaneous Coronary Intervention
Conservative management should be first choice if emergent revascularization is not necessary.[1] PCI is indicated in the presence of ongoing myocardial ischemia or myocardial infarction.[2] Drug eluting stents (DES) are routinely used in the management of SCAD. However, their impact on long-term outcomes has not been assessed yet in clinical studies.
Challenges and Suggestions With SCAD PCI | |
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Challenges during PCI of SCAD | |
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Suggestions if PCI is pursued for SCAD | |
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DAPT= dual antiplatelet therapy; IMH= intramural hematoma; IVUS= intravascular ultrasound; PCI= percutaneous coronary intervention. [3] |
References
- ↑ Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS; et al. (2014). "Spontaneous coronary artery dissection: revascularization versus conservative therapy". Circ Cardiovasc Interv. 7 (6): 777–86. doi:10.1161/CIRCINTERVENTIONS.114.001659. PMID 25406203.
- ↑ Adlam D, Cuculi F, Lim C, Banning A (2010). "Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era". The Journal of Invasive Cardiology. 22 (11): 549–53. PMID 21041853.
- ↑ Saw J, Mancini GBJ, Humphries KH (2016). "Contemporary Review on Spontaneous Coronary Artery Dissection". J Am Coll Cardiol. 68 (3): 297–312. doi:10.1016/j.jacc.2016.05.034. PMID 27417009.