TCTAP C-140 Acute Coronary Syndrome Caused by Spontaneous Coronary Artery Dissection in a 32-Year-Old Pregnant Woman

Ejima, Emiko; Murasato, Yoshinobu

doi:10.1016/j.jacc.2015.03.418

Cited by 2 publications

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“…In 8 out of 25 cases (32%), stenting became necessary due to ongoing ischemia or impaired blood flow after CB. [7,9,13,15,17,19,22,25,27]. CABG was performed in just one case.…”

Section: Resultsmentioning

confidence: 99%

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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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“…In 8 out of 25 cases (32%), stenting became necessary due to ongoing ischemia or impaired blood flow after CB. [7,9,13,15,17,19,22,25,27]. CABG was performed in just one case.…”

Section: Resultsmentioning

confidence: 99%

“…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

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An analysis of published cases of cutting balloon use in spontaneous coronary artery dissection

Maričić,

Perišić,

Kostić

et al. 2023

Front. Cardiovasc. Med.

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IntroductionSCAD involves a sudden tear or separation within the layers of the coronary artery wall, resulting in blood flow obstruction and subsequent myocardial ischemia.Materials and methodsA comprehensive literature search was conducted to identify relevant published cases of cutting balloon use in patients diagnosed with spontaneous coronary artery dissection. Electronic databases including PubMed, MEDLINE, Embase, Cochrane Library and Google Scholar were systematically searched from inception until the present using terms “cutting balloon,” “SCAD,” “acute coronary syndrome,” “intramural hematoma,” and “angioplasty.”ResultsA total of 32 published cases of cutting balloon use in spontaneous coronary artery dissection were analyzed in this study. The majority of the patients included in the analysis were female without prior history of cardiovascular disease. The median age of the SCAD population was approximately 46 years. The most frequently affected artery in SCAD cases was the Left Anterior Descending artery. Intravascular ultrasound was utilized more frequently than other modalities of adjunctive imaging techniques. The most frequent complication was the distal propagation of hematoma. Despite the successful dilation achieved with the cutting balloon, in some cases stenting was required to provide additional support.ConclusionThe results of this analysis demonstrate that cutting balloon use in SCAD cases yields favorable outcomes.

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TCTAP C-140 Acute Coronary Syndrome Caused by Spontaneous Coronary Artery Dissection in a 32-Year-Old Pregnant Woman

Cited by 2 publications

References 0 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

An analysis of published cases of cutting balloon use in spontaneous coronary artery dissection

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