TY  - BOOK
AU  - Ben-Dor, Itsik
AU  - Lee, Regina C
TI  - Revascularization methods in spontaneous coronary artery dissection: A focused review. [Review]
SN  - 1878-0938
PY  - 2017///
KW  - *Angioplasty, Balloon, Coronary/is [Instrumentation]
KW  - *Coronary Vessel Anomalies/th [Therapy]
KW  - *Percutaneous Coronary Intervention
KW  - *Vascular Diseases/cn [Congenital]
KW  - Adult
KW  - Algorithms
KW  - Coronary Angiography
KW  - Coronary Vessel Anomalies/dg [Diagnostic Imaging]
KW  - Critical Pathways
KW  - Decision Support Techniques
KW  - Drug-Eluting Stents
KW  - Female
KW  - Humans
KW  - Middle Aged
KW  - Percutaneous Coronary Intervention/is [Instrumentation]
KW  - Risk Factors
KW  - Treatment Outcome
KW  - Ultrasonography, Interventional
KW  - Vascular Diseases/dg [Diagnostic Imaging]
KW  - Vascular Diseases/th [Therapy]
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
KW  - Review
N1  - Available in print through MWHC library: 2002 - present
N2  - Copyright (c) 2017 Elsevier Inc. All rights reserved; 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
UR  - https://dx.doi.org/10.1016/j.carrev.2017.05.008
ER  -