Percutaneous Coronary Intervention in Spontaneous Coronary Artery Dissection: Role of Intravascular Ultrasound

Cardiology and Therapy - Tập 3 - Trang 61-66 - 2014
Ankur Kalra1, Avin Aggarwal2, Rachel Kneeland3, Jay H. Traverse1,4
1Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, USA
2Department of Medicine, Hennepin County Medical Center, Minneapolis, USA
3Arizona College of Osteopathic Medicine, Midwestern University, Glendale, USA
4Department of Cardiology, University of Minnesota Medical School, Minneapolis, USA

Tóm tắt

Spontaneous coronary artery dissection (SCAD) is a rare, life-threatening condition that usually manifests as an acute myocardial infarction. Diagnosing SCAD with conventional coronary angiogram can be challenging, particularly if the true lumen is severely narrowed. Our case highlights the challenges in performing successful percutaneous coronary intervention (PCI) in patients with SCAD. Intravascular ultrasound can prove to be a pivotal tool in the diagnosis and successful management of such cases by establishing the anatomic site of dissection, and confirming stent placement in the true lumen following PCI.

Tài liệu tham khảo

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