International Cardiovascular Forum Journal (Jan 2018)
Acute Interventional Management of Spontaneous Coronary Artery Dissection: Case Series and Literature Review
- Enrico Cerrato,
- Ilaria Meynet,
- Giorgio Quadri,
- Federico Giacobbe,
- Cristina Rolfo,
- Francesco Tomassini,
- Fabio Ferrari,
- Fabio Mariani,
- Luca Lo Savio,
- Matteo Bianco,
- Paola Destefanis,
- Alessia Luciano,
- Carol Gravinese,
- Emanuele Tizzani,
- Sara Giolitto,
- Antonella Corleto,
- Fabrizio DAscenzo,
- Umberto Barbero,
- Fernando Macaya,
- Javier Escaned,
- Roberto Pozzi,
- Ferdinando Varbella
Affiliations
- Enrico Cerrato
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Ilaria Meynet
- Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
- Giorgio Quadri
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Federico Giacobbe
- University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
- Cristina Rolfo
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Francesco Tomassini
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Fabio Ferrari
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Fabio Mariani
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- Luca Lo Savio
- Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
- Matteo Bianco
- Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
- Paola Destefanis
- Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
- Alessia Luciano
- Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
- Carol Gravinese
- University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
- Emanuele Tizzani
- Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
- Sara Giolitto
- Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
- Antonella Corleto
- Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
- Fabrizio DAscenzo
- University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
- Umberto Barbero
- Division of Cardiology, SS. Annunziata Savigliano - ASL CN1, Savigliano (CN), Italy
- Fernando Macaya
- Interventional Cardiology, Hospital Clinico San Carlos, Madrid, Spain
- Javier Escaned
- Interventional Cardiology, Hospital Clinico San Carlos, Madrid, Spain
- Roberto Pozzi
- Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
- Ferdinando Varbella
- Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
- DOI
- https://doi.org/10.17987/icfj.v15i0.544
- Journal volume & issue
-
Vol. 15
pp. 19 – 24
Abstract
Spontaneous coronary artery dissection (SCAD) treatment is currently a matter of debate as scarce data are available for the interventional cardiologists. In the present review we introduce four representative clinical scenarios in which different interventional strategies were carried out. Subsequently, we discuss different tools and useful techniques for the treatment of SCAD, presenting the advantages and drawbacks of the conservative approach versus percutaneous coronary intervention (PCI) with Drug Eluting Stent (DES) or bioresorbable scaffolds implantation, and/or cutting balloon angioplasty.
Keywords
- interventional cardiology
- coronary artery disease
- vascular disease
- spontaneous coronary artery dissection
- drug eluting stent
- bio-resorbable scaffolds
