MedStar Authors catalog › Details for: Revascularization methods in spontaneous coronary artery dissection: A focused review. [Review]
Revascularization methods in spontaneous coronary artery dissection: A focused review. [Review] Journal: Cardiovascular revascularization medicine : including molecular interventions.Published: 2017ISSN: 1878-0938.UI/PMID: 28529093.Subject(s): Adult | Algorithms | *Angioplasty, Balloon, Coronary/is [Instrumentation] | Coronary Angiography | Coronary Vessel Anomalies/dg [Diagnostic Imaging] | *Coronary Vessel Anomalies/th [Therapy] | Critical Pathways | Decision Support Techniques | Drug-Eluting Stents | Female | Humans | Middle Aged | Percutaneous Coronary Intervention/is [Instrumentation] | *Percutaneous Coronary Intervention | Risk Factors | Treatment Outcome | Ultrasonography, Interventional | *Vascular Diseases/cn [Congenital] | Vascular Diseases/dg [Diagnostic Imaging] | Vascular Diseases/th [Therapy]Institution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal Article | ReviewDigital Object Identifier: https://dx.doi.org/10.1016/j.carrev.2017.05.008 (Click here) Abbreviated citation: ; Cardiovasc Revasc Med. 18(7):544-548, 2017 Oct - Nov.Local Holdings: Available in print through MWHC library: 2002 - present.Abstract: Spontaneous coronary artery dissection (SCAD) is becoming widely recognized as an important cause of myocardial infarction, particularly in younger women. Tendency toward conservative management has been primarily based on observational data. Intervention is recommended when coronary blood flow is compromised and high risk features such as left main involvement, ongoing ischemia, or hemodynamic or electrical instability are present. Unlike the atherosclerotic process where the superiority of stenting compared with plain old balloon angioplasty has been established in the acute setting, randomized studies for revascularization strategies for spontaneous coronary dissection are currently lacking. We highlight 4 cases of SCAD from our institution, review the literature with regard to percutaneous revascularization in this population, and propose a step-wise algorithm for percutaneous intervention strategies in managing higher-risk SCAD.Abstract: Copyright (c) 2017 Elsevier Inc. All rights reserved.