Spontaneous coronary artery dissection surgery: Difference between revisions
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Emergent CABG should be considered for patients with left main dissections, extensive dissections involving proximal arteries, or in patients in whom PCI failed or who are not anatomically suitable for PCI. | Emergent CABG should be considered for patients with left main dissections, extensive dissections involving proximal arteries, or in patients in whom PCI failed or who are not anatomically suitable for PCI. | ||
Indications for surgical revascularization ([[CABG]])<ref name="pmid20440039">{{cite journal |author=Shamloo BK, Chintala RS, Nasur A, ''et al.'' |title=Spontaneous coronary artery dissection: aggressive vs. conservative therapy |journal=[[The Journal of Invasive Cardiology]] |volume=22 |issue=5 |pages=222–8 |year=2010 |pmid=20440039 |doi= |url=}}</ref> include: | Indications for surgical revascularization ([[CABG]])<ref name="pmid20440039">{{cite journal |author=Shamloo BK, Chintala RS, Nasur A, ''et al.'' |title=Spontaneous coronary artery dissection: aggressive vs. conservative therapy |journal=[[The Journal of Invasive Cardiology]] |volume=22 |issue=5 |pages=222–8 |year=2010 |pmid=20440039 |doi= |url=}}</ref> include: | ||
* Multivessel involvement | * Multivessel involvement | ||
Revision as of 02:27, 4 December 2017
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Spontaneous Coronary Artery Dissection Microchapters |
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Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Type 1 Type 2A Type 2B Type 3 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A. Arzu Kalayci, M.D. [2]
Synonyms and keywords: SCAD
Overview
Surgery
Emergent CABG should be considered for patients with left main dissections, extensive dissections involving proximal arteries, or in patients in whom PCI failed or who are not anatomically suitable for PCI.
Indications for surgical revascularization (CABG)[1] include:
- Multivessel involvement
- Left main coronary artery involvement
- Progression/worsening of dissection so long as there is a distal target
- Significant narrowing of the arterial lumen
- Refractory or recurrent myocardial ischemia
In the event of severe refractory heart failure, heart transplantation may be considered.
References
- ↑ Shamloo BK, Chintala RS, Nasur A; et al. (2010). "Spontaneous coronary artery dissection: aggressive vs. conservative therapy". The Journal of Invasive Cardiology. 22 (5): 222–8. PMID 20440039.