Antegrade Dissection Re-Entry After Subintimal Wiring of an Occluded Vessel From Spontaneous Coronary Artery Dissection

David V. Daniels, MD; Vedant S. Pargaonkar, MD; Takeshi Nishi, MD; Jennifer A. Tremmel, MD, MS

JACC: Case Reports (Jan 2020)

Antegrade Dissection Re-Entry After Subintimal Wiring of an Occluded Vessel From Spontaneous Coronary Artery Dissection

David V. Daniels, MD,
Vedant S. Pargaonkar, MD,
Takeshi Nishi, MD,
Jennifer A. Tremmel, MD, MS

Affiliations

David V. Daniels, MD: Cardiology Department, Sutter Health Palo Alto Medical Foundation, Burlingame, California
Vedant S. Pargaonkar, MD: Division of Cardiovascular Medicine, Stanford School of Medicine, Stanford California
Takeshi Nishi, MD: Division of Cardiovascular Medicine, Stanford School of Medicine, Stanford California
Jennifer A. Tremmel, MD, MS: Division of Cardiovascular Medicine, Stanford School of Medicine, Stanford California; Address for correspondence: Dr. Jennifer A. Tremmel, Division of Cardiovascular Medicine, Stanford School of Medicine, 300 Pasteur Drive, Room H2103, MC 5218, Stanford, California 94305.

Journal volume & issue: Vol. 2, no. 1
pp. 72 – 76

Abstract

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Percutaneous management of spontaneous coronary artery dissection (SCAD) is challenging, with high procedural failure rates. We present a case of successful revascularization using antegrade dissection re-entry after failing to wire the true lumen in occlusive SCAD. Utilizing such alternative strategies may improve procedural success in this poorly understood patient subset. (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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Abstract

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