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

Catheter Cardiovasc Interv. 2023 Aug;102(2):241-246. doi: 10.1002/ccd.30683. Epub 2023 Jun 10.

Abstract

The management of spontaneous coronary artery dissection (SCAD) is lacking randomized data. This also holds for SCAD with ST-segment elevation myocardial infarction where stenting has been used to restore coronary flow. This approach can be associated with many drawbacks. Therefore, we present an alternative approach to stenting when coronary flow cannot be restored using cutting balloons alone.

Keywords: cutting balloons; spontaneous coronary artery dissection.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Coronary Angiography
  • Coronary Vessel Anomalies* / complications
  • Coronary Vessel Anomalies* / diagnostic imaging
  • Coronary Vessel Anomalies* / therapy
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Hematoma / diagnostic imaging
  • Hematoma / etiology
  • Hematoma / surgery
  • Humans
  • Treatment Outcome
  • Vascular Diseases* / diagnostic imaging
  • Vascular Diseases* / etiology
  • Vascular Diseases* / therapy

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous