The role of percutaneous coronary intervention in spontaneous coronary artery dissection: between Scylla and Charybdis.

IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Marco Lombardi, Jorge Chavez-Solsol, Pablo Salinas, Enrico Cerrato, Rocco Vergallo, Italo Porto, Ferdinando Varbella, Nieves Gonzalo, Javier Escaned, Fernando Macaya-Ten
{"title":"The role of percutaneous coronary intervention in spontaneous coronary artery dissection: between Scylla and Charybdis.","authors":"Marco Lombardi, Jorge Chavez-Solsol, Pablo Salinas, Enrico Cerrato, Rocco Vergallo, Italo Porto, Ferdinando Varbella, Nieves Gonzalo, Javier Escaned, Fernando Macaya-Ten","doi":"10.23736/S2724-5683.24.06680-8","DOIUrl":null,"url":null,"abstract":"<p><p>Spontaneous coronary artery dissection (SCAD) is a distinct and increasingly recognized cause of acute coronary syndromes, primarily affecting young and middle-aged women with few cardiovascular risk factors. While SCAD often resolves spontaneously with conservative management, percutaneous coronary intervention (PCI) is sometimes necessary, especially in patients with ongoing ischemia or high-risk anatomical features. This review summarizes the current state of knowledge regarding the interventional approach in SCAD, emphasizing the rationale for conservative treatment, and the indications for and challenges associated with PCI. It also provides practical recommendations, particularly highlighting technical aspects of PCI in SCAD, the critical role of intracoronary imaging, and the modality and timing of post-PCI surveillance.</p>","PeriodicalId":18668,"journal":{"name":"Minerva cardiology and angiology","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minerva cardiology and angiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S2724-5683.24.06680-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0

Abstract

Spontaneous coronary artery dissection (SCAD) is a distinct and increasingly recognized cause of acute coronary syndromes, primarily affecting young and middle-aged women with few cardiovascular risk factors. While SCAD often resolves spontaneously with conservative management, percutaneous coronary intervention (PCI) is sometimes necessary, especially in patients with ongoing ischemia or high-risk anatomical features. This review summarizes the current state of knowledge regarding the interventional approach in SCAD, emphasizing the rationale for conservative treatment, and the indications for and challenges associated with PCI. It also provides practical recommendations, particularly highlighting technical aspects of PCI in SCAD, the critical role of intracoronary imaging, and the modality and timing of post-PCI surveillance.

经皮冠状动脉介入治疗在自发性冠状动脉夹层中的作用:在Scylla和Charybdis之间。
自发性冠状动脉剥离(SCAD)是急性冠状动脉综合征的一个独特且日益被认识的原因,主要影响心血管危险因素较少的中青年妇女。虽然SCAD通常在保守治疗下自行消退,但经皮冠状动脉介入治疗(PCI)有时是必要的,特别是在持续缺血或具有高危解剖特征的患者中。这篇综述总结了SCAD介入治疗的现状,强调了保守治疗的基本原理,以及PCI的适应症和挑战。它还提供了实用的建议,特别强调了SCAD中PCI的技术方面,冠状动脉内成像的关键作用,以及PCI后监测的方式和时机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Minerva cardiology and angiology
Minerva cardiology and angiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
18.80%
发文量
118
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信