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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