Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting?

Autor: Arrivi, A., Bazzucchi, M., De Paolis, M., Placanica, A., Bock, C., Milici, C., Boschetti, E., Dominici, M.
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Vascular Medicine.
ISSN: 2090-6986
DOI: 10.1155/2013/639384
Popis: Spontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet. The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial. The case described is that of a young, otherwise healthy woman, who presented with an ostial dissection of the left anterior descending (LAD) artery. Due to patient’s stable clinical and hemodynamic parameters, we used a cautious approach based on watchful waiting and medical therapy, postponing stenting in order to achieve a partial vessel reopening with a more comfortable access to PCI.
Databáze: OpenAIRE