Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndromes. The increasing use of early angiography in the primary percutaneous coronary intervention (PPCI) era has led to earlier identification of patients with SCAD and may encourage an increased use of percutaneous r...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
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2010
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| _version_ | 1826264516105601024 |
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| author | Adlam, D Cuculi, F Lim, C Banning, A |
| author_facet | Adlam, D Cuculi, F Lim, C Banning, A |
| author_sort | Adlam, D |
| collection | OXFORD |
| description | Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndromes. The increasing use of early angiography in the primary percutaneous coronary intervention (PPCI) era has led to earlier identification of patients with SCAD and may encourage an increased use of percutaneous revascularization strategies in this population. However, the pathophysiology of SCAD is distinct from the usually stenotic atherosclerotic plaque-rupture events responsible for most ST-elevation and non-ST-elevation myocardial infarctions, but our approach to managing these patients utilizes largely the same medical and revascularization therapies used in conventional acute coronary syndromes. This review examines the literature on SCAD and contemporary management issues. |
| first_indexed | 2024-03-06T20:09:04Z |
| format | Journal article |
| id | oxford-uuid:29f119eb-ff1e-42bf-8ff2-575ca54bd8e8 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:09:04Z |
| publishDate | 2010 |
| record_format | dspace |
| spelling | oxford-uuid:29f119eb-ff1e-42bf-8ff2-575ca54bd8e82022-03-26T12:22:01ZManagement of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:29f119eb-ff1e-42bf-8ff2-575ca54bd8e8EnglishSymplectic Elements at Oxford2010Adlam, DCuculi, FLim, CBanning, ASpontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndromes. The increasing use of early angiography in the primary percutaneous coronary intervention (PPCI) era has led to earlier identification of patients with SCAD and may encourage an increased use of percutaneous revascularization strategies in this population. However, the pathophysiology of SCAD is distinct from the usually stenotic atherosclerotic plaque-rupture events responsible for most ST-elevation and non-ST-elevation myocardial infarctions, but our approach to managing these patients utilizes largely the same medical and revascularization therapies used in conventional acute coronary syndromes. This review examines the literature on SCAD and contemporary management issues. |
| spellingShingle | Adlam, D Cuculi, F Lim, C Banning, A Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title | Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title_full | Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title_fullStr | Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title_full_unstemmed | Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title_short | Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. |
| title_sort | management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era |
| work_keys_str_mv | AT adlamd managementofspontaneouscoronaryarterydissectionintheprimarypercutaneouscoronaryinterventionera AT cuculif managementofspontaneouscoronaryarterydissectionintheprimarypercutaneouscoronaryinterventionera AT limc managementofspontaneouscoronaryarterydissectionintheprimarypercutaneouscoronaryinterventionera AT banninga managementofspontaneouscoronaryarterydissectionintheprimarypercutaneouscoronaryinterventionera |