Successful Treatment of Spontaneous Coronary Artery Dissection With Subintimal Tracking and Re-Entry Technique

Marc Bonnet, MD; Olga Toleva, MD, MPH; Luiz Fernando Ybarra, MD, PhD; Stéphane Rinfret, MD, SM

JACC: Case Reports (Dec 2019)

Successful Treatment of Spontaneous Coronary Artery Dissection With Subintimal Tracking and Re-Entry Technique

Marc Bonnet, MD,
Olga Toleva, MD, MPH,
Luiz Fernando Ybarra, MD, PhD,
Stéphane Rinfret, MD, SM

Affiliations

Marc Bonnet, MD: McGill University Health Centre, McGill University, Montreal, Quebec, Canada
Olga Toleva, MD, MPH: St. Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada
Luiz Fernando Ybarra, MD, PhD: McGill University Health Centre, McGill University, Montreal, Quebec, Canada
Stéphane Rinfret, MD, SM: McGill University Health Centre, McGill University, Montreal, Quebec, Canada; Address for correspondence: Dr. Stéphane Rinfret, McGill University, McGill University Health Centre, Glen Site, 1001 Boulevard Décarie, Montreal, Quebec H4A 3J1, Canada.

Journal volume & issue: Vol. 1, no. 4
pp. 553 – 559

Abstract

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Percutaneous coronary intervention (PCI) remains necessary in patients with spontaneous coronary dissection (SCAD) with ongoing ischemia. However, PCI in SCAD is associated with poor results. Fenestration with a cutting balloon has been described to release the extraluminal compression. The authors describe 2 cases managed successfully with another fenestration technique—the subintimal tracking and re-entry technique. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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