Risks and benefits of percutaneous coronary intervention in spontaneous coronary artery dissection.
Deevia KotechaMarcos Garcia-GuimaraesDiluka PremawardhanaDario PellegriniClare Oliver-WilliamsVasiliki BountzioukaAlice WoodNalin NatarajanRobert JacksonNathan ChanJan ZiaullahRoby D RakhitStephen P HooleTom W JohnsonJacek KadzielaPeter F LudmanNilesh J SamaniAngela H E M MaasRobert-Jan M van GeunsFernando AlfonsoDavid AdlamPublished in: Heart (British Cardiac Society) (2021)
While a conservative approach to revascularisation is favoured, SCAD cases with higher risk presentations may require PCI. SCAD-PCI is associated with longer stent lengths and a higher risk of complications but leads to overall improvements in coronary flow and good medium-term outcomes in patients.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- coronary artery
- acute coronary syndrome
- acute myocardial infarction
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- end stage renal disease
- coronary artery bypass grafting
- newly diagnosed
- pulmonary artery
- chronic kidney disease
- atrial fibrillation
- ejection fraction
- prognostic factors
- risk assessment
- weight loss
- left ventricular
- patient reported
- aortic stenosis
- transcatheter aortic valve replacement
- metabolic syndrome