Acute Interventional Management of Spontaneous Coronary Artery Dissection: Case Series and Literature Review

Authors

  • Enrico Cerrato Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Ilaria Meynet Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
  • Giorgio Quadri Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Federico Giacobbe University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
  • Cristina Rolfo Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Francesco Tomassini Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Fabio Ferrari Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Fabio Mariani Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
  • Luca Lo Savio Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
  • Matteo Bianco Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
  • Paola Destefanis Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
  • Alessia Luciano Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
  • Carol Gravinese University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
  • Emanuele Tizzani Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
  • Sara Giolitto Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
  • Antonella Corleto Division of Cardiology, Rivoli Infermi Hospital, Rivoli, (Turin), Italy
  • Fabrizio D'Ascenzo University of Turin, Città della Salute e della Scienza di Torino’, Division of Cardiology, Turin, Italy
  • Umberto Barbero Division of Cardiology, SS. Annunziata Savigliano - ASL CN1, Savigliano (CN), Italy
  • Fernando Macaya Interventional Cardiology Unit, Hospital Clinico San Carlos, Madrid, Spain
  • Javier Escaned Interventional Cardiology Unit, Hospital Clinico San Carlos, Madrid, Spain
  • Roberto Pozzi Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy
  • Ferdinando Varbella Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy

DOI:

https://doi.org/10.17987/icfj.v15i0.544

Keywords:

Spontaneous Coronary Artery Dissection, Drug Eluting Stent, Cutting balloon, Bio-resorbable scaffolds,

Abstract

Spontaneous coronary artery dissection (SCAD) treatment is to date a matter of debate and few data are available for the interventional cardiologists. In the present review we briefly report four representative clinical cases in which different strategies were carried out. Therefore, we discussed different tools and techniques currently available to treat SCAD presenting advantages and drawbacks of conservative approach, Drug Eluting Stent (DES) or bio-resorbable scaffolds implantation and cutting balloon angioplasty

References

Adlam, D. et al. European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection. Eur Heart J doi:10.1093/eurheartj/ehy080

Saw, J., Mancini, G. B. J. & Humphries, K. H. Contemporary Review on Spontaneous Coronary Artery Dissection. J. Am. Coll. Cardiol. 68, 297–312 (2016).

Hayes, S. N. et al. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation CIR.0000000000000564 (2018). doi:10.1161/CIR.0000000000000564

Alfonso, F. et al. Spontaneous coronary artery dissection: novel insights on diagnosis and management. Cardiovasc Diagn Ther 5, 133–140 (2015).

Adams, H. et al. Different patients, different outcomes: A case-control study of spontaneous coronary artery dissection versus acute coronary syndrome. J Interv Cardiol 31, 41–47 (2018).

Lettieri, C. et al. Management and Long-Term Prognosis of Spontaneous Coronary Artery Dissection. Am. J. Cardiol. 116, 66–73 (2015).

Vanzetto, G. et al. Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients. Eur J Cardiothorac Surg 35, 250–254 (2009).

Tweet, M. S. et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 126, 579–588 (2012).

Quadri, G. et al. Importance of Close Surveillance of Patients With Conservatively Managed Spontaneous Coronary Artery Dissection. JACC Cardiovasc Interv 11, e87–e89 (2018).

Tweet, M. S. et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv 7, 777–786 (2014).

Imai, M. et al. Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation 123, 2382–2391 (2011).

Conrotto, F. et al. Safety and efficacy of drug eluting stents in patients with spontaneous coronary artery dissection. Int. J. Cardiol. 238, 105–109 (2017).

Lempereur, M., Fung, A. & Saw, J. Stent mal-apposition with resorption of intramural hematoma with spontaneous coronary artery dissection. Cardiovasc Diagn Ther 5, 323–329 (2015).

Macaya, F. et al. Bioresorbable Scaffolds to Treat Spontaneous Coronary Artery Dissection. Circ Cardiovasc Interv 9, e003133 (2016).

Cockburn, J., Yan, W., Bhindi, R. & Hansen, P. Spontaneous Coronary Artery Dissection Treated With Bioresorbable Vascular Scaffolds Guided by Optical Coherence Tomography. Canadian Journal of Cardiology 30, 1461.e1-1461.e3 (2014).

Cerrato, E., Tomassini, F., Rolfo, C., Gagnor, A. & Varbella, F. Spontaneous coronary artery dissection treated with biovascular scaffolds guided by intravascular ultrasounds imaging. Cardiovasc Interv Ther 32, 186–189 (2017).

Quadri, G., Tomassini, F., Cerrato, E. & Varbella, F. First reported case of magnesium-made bioresorbable scaffold to treat spontaneous left anterior descending coronary artery dissection. Catheter Cardiovasc Interv 90, 768–772 (2017).

Sorrentino, S. et al. Everolimus-Eluting Bioresorbable Scaffolds Versus Everolimus-Eluting Metallic Stents. J. Am. Coll. Cardiol. 69, 3055–3066 (2017).

Stone, G. W. & Granada, J. F. Very Late Thrombosis After Bioresorbable Scaffolds: Cause for Concern? J. Am. Coll. Cardiol. 66, 1915–1917 (2015).

Ito, T., Shintani, Y., Ichihashi, T., Fujita, H. & Ohte, N. Non-atherosclerotic spontaneous coronary artery dissection revascularized by intravascular ultrasonography-guided fenestration with cutting balloon angioplasty. Cardiovasc Interv Ther 32, 241–243 (2017).

Mele, M., Langialonga, T., Maggi, A., Villella, M. & Villella, A. Self-expanding stent for spontaneous coronary artery dissection: a rational choice. J Cardiovasc Med (Hagerstown) 17 Suppl 2, e254–e256 (2016).

Shewan LG, Coats AJS, Henein M. Requirements for ethical publishing in biomedical journals. International Cardiovascular Forum Journal 2015;2:2 DOI: 10.17987/icfj.v2i1.4

Downloads

Published

2019-03-12

Issue

Section

Review