scholarly journals Successful Treatment of Spontaneous Coronary Artery Dissection With Cutting Balloon Angioplasty

Cureus ◽  
2021 ◽  
Author(s):  
Mohamed Zghouzi ◽  
Homam Moussa Pacha ◽  
Yasar Sattar ◽  
M. Chadi Alraies
Keyword(s):  
Coronary Artery ◽  
Successful Treatment ◽  
Balloon Angioplasty ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Cutting Balloon ◽  
Cutting Balloon Angioplasty

scholarly journals Unusual Interventional Treatment Of Spontaneous Coronary Artery Dissection Without Stent Implantation: A Case Series

2021 ◽  
Author(s):  
Hiroshi Fujita ◽  
Masashi Yokoi ◽  
Tsuyoshi Ito ◽  
Takafumi Nakayama ◽  
Yasuhiro Shintani ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Antiplatelet Therapy ◽  
Balloon Angioplasty ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Cutting Balloon ◽  
Cutting Balloon Angioplasty

Abstract Background Spontaneous coronary artery dissection (SCAD) is a unique cause of myocardial infarction, and optimal treatment should be selected according to the ischaemic condition. Patients with ongoing ischaemia or haemodynamic instability may require revascularization. Cutting balloon angioplasty has been acknowledged as an option for revascularization. However, few observations of the coronary artery conditions after cutting balloon angioplasty in SCAD patients have been reported. Here, we demonstrate two cases in which we evaluated the angiographic morphology of targeted coronary arteries in the chronic phase after cutting balloon angioplasty. Case summary Patient 1 was a 46-year-old woman who presented at our hospital with chest pain. Electrocardiography suggested acute coronary syndrome and coronary angiography was performed. The coronary angiography and intravascular ultrasound (IVUS) examinations revealed SCAD in the left anterior descending artery (LAD). Revascularization with cutting balloon angioplasty was successful. Follow-up coronary angiography 15 months after the angioplasty showed no visible stenosis in the LAD. Accordingly, the patient no longer needed to antiplatelet therapy. Patient 2 was a 50-year-old woman who was transported to our hospital for ventricular tachycardia. Coronary angiography and IVUS revealed SCAD in the right coronary artery. Coronary flow was restored by cutting balloon angioplasty. Follow-up contrast-enhanced computed tomography angiography 36 months after angioplasty showed a healed appearance. Thus, she was able to discontinue antiplatelet therapy. Conclusion Cutting balloon angioplasty may be a possible method to treat SCAD.

scholarly journals Successful revascularization with percutaneous coronary intervention using a combination of the subintimal transcatheter withdrawal technique and coronary artery fenestration for spontaneous coronary artery dissection

2021 ◽  
Author(s):  
Shintaro Matsuura ◽  
Kanichi Otowa ◽  
Michiro Maruyama ◽  
Kazuo Usuda
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Cutting Balloon ◽  
Cutting Balloon Angioplasty ◽  
Percutaneous Coronary ◽  
New Treatment

We present a case of successful revascularization for spontaneous coronary artery dissection (SCAD) using coronary artery fenestration followed by the subintimal transcatheter withdrawal (STRAW) technique. The combination of the STRAW technique and coronary artery fenestration with cutting balloon angioplasty could be a new treatment option for SCAD patients requiring revascularization.

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