AI Article Synopsis
- Conservative management is the main treatment for spontaneous coronary artery dissection (SCAD) in stable patients, but some may require revascularization due to recurrent issues.
- A successful case of OCT-guided percutaneous coronary intervention (PCI) with a cutting balloon for treating SCAD is presented, involving fenestration in an intramural hematoma.
- There is limited research on the success rates and long-term outcomes of using this technique in SCAD patients, highlighting its critical nature as SCAD can severely affect young individuals.
Article Abstract
Conservative management is the first-line treatment for spontaneous coronary artery dissection (SCAD) with stable haemodynamic status and thrombolysis in myocardial infarction three flow on angiography. However, in a few very specific patients, recurrent ischemia, or haemodynamic instability necessitates revascularization. Here, we describe a case of successful optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) with a cutting balloon. We performed fenestration at multiple decompression sites prior to stenting in an intramural haematoma with luminal compression. Rescue management of SCAD with luminal compression is a critical issue, because SCAD is an emergent clinical condition affecting young patients with a severe prognosis. To our knowledge, there are no large published series evaluating procedural success rates and long-term follow-up of this technique.
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| http://dx.doi.org/10.1002/ccd.28186 | DOI Listing |
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