Percutaneous Coronary Intervention for the Treatment of Spontaneous Coronary Artery Dissection
| Autor: | Jacqueline Saw, Anthony Main |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Percutaneous Coronary Vessel Anomalies medicine.medical_treatment Dissection (medical) 030204 cardiovascular system & hematology Revascularization 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine medicine Humans Vascular Diseases 030212 general & internal medicine Myocardial infarction business.industry Stent Percutaneous coronary intervention Drug-Eluting Stents medicine.disease Coronary Vessels Surgery medicine.anatomical_structure Cutting balloon Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Interventional Cardiology Clinics. 8:199-208 |
| ISSN: | 2211-7458 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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