Angiographic and interventional management of spontaneous coronary artery dissections: When less is more, or “When ‘Better’ flow is the enemy of good flow” | Zendy

Wood Malissa J. | Zendy; Drachman Douglas E. | Zendy

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Angiographic and interventional management of spontaneous coronary artery dissections: When less is more, or “When ‘Better’ flow is the enemy of good flow”

Author(s) -

Wood Malissa J.,

Drachman Douglas E.

Publication year - 2017

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.26895

Subject(s) - medicine , scad , conventional pci , limiting , cardiology , conservative management , fractional flow reserve , psychological intervention , intensive care medicine , surgery , coronary angiography , myocardial infarction , mechanical engineering , engineering , psychiatry

Key Points Conservative management of SCAD in clinically stable patients with non‐flow limiting lesions in major arteries is associated with favorable outcomes A careful, methodical approach to pursuing PCI in patients with SCAD is warranted Peripartum patients with SCAD appear to be at higher risk for technical complications; interventions in these patients should be performed by highly experienced operators

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