Balloon assisted hematoma fenestration in spontaneous coronary artery dissection. Case presentation and literature review

Besis, George; Biase, Chiara De; Subkovas, Eduardas; Rakhit, Roby

doi:10.1002/ccd.30683

Cited by 1 publication

(2 citation statements)

References 20 publications

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“…The recurrence rate is approximately 10.4 % [1]. In our study, 31.5 % of patients who underwent follow-up had complete healing within 36 months after CB [6,[10][11][12]14]. Residual partial intimal tearing after 6 months was reported in 36.8% of patients who had follow-up [8,9,15,20,21].…”

Section: Discussionmentioning

confidence: 48%

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Cutting Balloons in Patients with Spontaneous Coronary Artery Dissection Presented with STElevation Myocardial Infarction; A Review Article

2024

Cardiol Res Cardiovasc Med

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Spontaneous coronary artery dissection (SCAD) is defined as non-iatrogenic and non-traumatic dissection of the coronary artery which can lead to hematoma formation affecting the blood flow. Conservative management is preferred over revascularization in patients with SCAD and preserved blood flow, however, revascularization is recommended in patients with ongoing ischemia, left main artery involvement, or impaired blood flow. Since conventional revascularization is associated with an increased risk of stent misplacement, thrombosis, and hematoma propagation, new techniques including cutting balloons (CB) have been offered. Cutting balloon makes fenestrations in the wall of the hematoma and leads to drainage of the hematoma. Our study includes 25 published cases of SCAD who presented with ST-elevation myocardial infarction and underwent CB revascularization. Isolated CB resulted in thrombolysis in myocardial infarction (TIMI) 3 blood flow restoration in 15 patients and TIMI 2 blood flow in one patient. Eight patients required further stenting due to ongoing ischemia after using CB. One patient underwent coronary artery bypass graft (CABG) due to cardiogenic shock. Hematoma expansion was reported in 2 cases. Except for one patient, all cases remained asymptomatic at follow-up.

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Section: Discussionmentioning

confidence: 48%

“…Except for two patients who had HLP, none of the patients had typical cardiac risk factors including diabetes and hypertension. LAD was the most common culprit artery and middle segment involvement was reported more frequently [6,10,[12][13][14]19,20,22,24,25]. TIMI 3 blood flow was established in 93.3% of patients who underwent isolated CB.…”

Section: Discussionmentioning

confidence: 98%

Cutting Balloons in Patients with Spontaneous Coronary Artery Dissection Presented with STElevation Myocardial Infarction; A Review Article

2024

Cardiol Res Cardiovasc Med

View full text Add to dashboard Cite

show abstract

Balloon assisted hematoma fenestration in spontaneous coronary artery dissection. Case presentation and literature review

Cited by 1 publication

References 20 publications

Cutting Balloons in Patients with Spontaneous Coronary Artery Dissection Presented with STElevation Myocardial Infarction; A Review Article

Cutting Balloons in Patients with Spontaneous Coronary Artery Dissection Presented with STElevation Myocardial Infarction; A Review Article

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