Percutaneous intervention can be successfully used to manage spontaneous coronary dissection and extensive intramural haematoma associated with STEMI, despite the risk of haematoma propagation.
May support percutaneous management in select STEMI cases with dissection and haematoma; hypothesis-generating and should not yet change practice.
Management of spontaneous coronary dissection and intramural haematoma is controversial. Percutaneous intervention carries a risk of propagation of haematoma either proximally or distally during ba...
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Walsh et al. (2008) studied this question.