Spontaneous coronary artery dissection treated with biovascular scaffolds guided by intravascular ultrasounds imaging

Cerrato, Enrico; Tomassini, Francesco; Rolfo, Christian; Gagnor, Andrea; Varbella, Ferdinando

doi:10.1007/s12928-016-0391-3

Cited by 6 publications

(7 citation statements)

References 12 publications

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“…Ielasi et al of the RAI registry reported favorable procedural and clinical outcomes in 18 patients presenting with SCAD in ACS settings who were treated with Bioresorbable Vascular Scaffold (BVS, Absorb, Abbott Vascular, Santa Clara, CA). Similar results were achieved in single centre experiences at one‐year follow‐up . Nevertheless, the negative results of the ABSORB II and the ABSORB III trials at 3‐year and 2‐year follow‐up, respectively, raised important concerns about the increased risk of major adverse cardiovascular events with ABSORB scaffolds compared with XIENCE stents.…”

Section: Discussionsupporting

confidence: 62%

“…As a matter of fact, very extensive reconstructions are usually needed for SCAD, with the related concern for antiplatelet therapy optimal duration. For this reason, the use of bioresorbable scaffolds (BRS) is an attractive option and few cases of PCI with BRS in SCAD patients have been reported in the literature with good results. We reported a case of SCAD treated with a new magnesium‐made BRS.…”

Section: Introductionmentioning

confidence: 99%

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First reported case of magnesium‐made bioresorbable scaffold to treat spontaneous left anterior descending coronary artery dissection

Quadri¹,

Tomassini

Cerrato

et al. 2017

Cathet Cardio Intervent

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Spontaneous coronary artery dissection (SCAD) is a rare cause of Acute Coronary Syndrome. Although its treatment is still debated, use of Bioreasorbable Scaffold was recently advocated as an attractive option in this setting. We report the first case, to our knowledge, of a new magnesium-made Bioresorbable Scaffold implantation in a young woman presenting with Non-ST- Elevation Myocardial Infarction and a rapid worsening SCAD.

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Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

First reported case of magnesium‐made bioresorbable scaffold to treat spontaneous left anterior descending coronary artery dissection

Quadri¹,

Tomassini

Cerrato

et al. 2017

Cathet Cardio Intervent

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“…The bioresorbable vascular scaffold (BVS) was approved by the Food and Drug Administration (FDA) 2010 and has been utilized in some case studies for SCAD [ 16 ] and has been considered for young patients with SCAD [ 15 , 17 – 19 ]. It is important to note that such use has not been validated and safety studies do demonstrate that BVS has a higher risk of thrombosis (3.5% versus 0.9%) in stent group [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is important to note that such use has not been validated and safety studies do demonstrate that BVS has a higher risk of thrombosis (3.5% versus 0.9%) in stent group [ 16 ]. The theoretical advantage of BVS includes the restoration of the native vessel vasomotor and adaptive shear stress allowing for late luminal enlargement and late expansive remodeling once the scaffold degrades [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Cycling Induced Spontaneous Coronary Artery Dissection in a Healthy Male

Jafri

Solarz

Hjemdahl-Monsen

2018

Case Reports in Emergency Medicine

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Introduction Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndrome with a spectrum of disease that can include unstable angina, acute myocardial infarction, or sudden cardiac death. It has also been found in case reports to be caused by shear stress from physical exertion. We present a rare cycling induced SCAD that occurred in our institution in an otherwise healthy male with no cardiac risk factors. Case Presentation A 36-year-old male presented to the emergency department with complaints of lightheadedness and diaphoresis after a bicycle fall. In the emergency department, he complained of feeling lightheaded and diaphoretic and having mid back pain. Patient had an ECG performed which showed lateral ST segment elevation and troponin I that was positive. A coronary angiography was subsequently performed demonstrating a spontaneous coronary artery dissection of left anterior descending coronary artery. Conclusion SCAD is a rare cause of myocardial infarction, occurring in healthy individuals, which is rarely reported in the literature. Nearly 70% are diagnosed in postmortem studies after sudden cardiac death. Only 12 cases have been reported from activities involving physical exertion and no studies to our knowledge demonstrate this.

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“…The 53 Since then, some papers (mostly case reports and small series of patients) have described the usefulness of IVUS for: diagnostic confirmation of SCAD; as a guiding tool during PCI; and to confirm IMH has completely resolved on follow-up. [54][55][56][57][58][59] The experience OCT showed an intimo-medial dissection/fenestration in only 37% of the lesions. 52 During follow-up, OCT can be used to confirm vessel healing.…”

Section: Intravascular Ultrasoundmentioning

confidence: 98%

Spontaneous Coronary Artery Dissection: Mechanisms, Diagnosis and Management

et al. 2020

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Spontaneous coronary artery dissection (SCAD) is a relatively infrequent cause of acute coronary syndrome that usually affects young to middle-aged women. Mainly because of its low prevalence, until recently, most of the evidence on this condition was derived from case reports and small series. Over the last 5 years, more robust evidence has become available from larger retrospective and prospective cohorts of patients with SCAD. The increase in knowledge and recognition of this entity has led to the publication of expert consensus on both sides of the Atlantic. However, new data are continuously accumulating from larger cohorts of patients with SCAD, bringing new light to this little-understood condition. The aim of this article is to update the knowledge on SCAD, including new information from recent studies published since the consensus documents from the European Society of Cardiology and the American Heart Association.

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Spontaneous coronary artery dissection treated with biovascular scaffolds guided by intravascular ultrasounds imaging

Abstract: We reported a case of a fit and active 48 years' old woman presented with acute coronary syndrome due to a spontaneous coronary dissection (SCAD) treated with bioresorbable scaffolds (BVS) implantation guided by intravascular ultrasounds (IVUS) with immediate and long-term good results.

Cited by 6 publications

References 12 publications

First reported case of magnesium‐made bioresorbable scaffold to treat spontaneous left anterior descending coronary artery dissection

First reported case of magnesium‐made bioresorbable scaffold to treat spontaneous left anterior descending coronary artery dissection

Cycling Induced Spontaneous Coronary Artery Dissection in a Healthy Male

Spontaneous Coronary Artery Dissection: Mechanisms, Diagnosis and Management

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