Why the study?
Does coronary artery fenestration with cutting balloon angioplasty prior to stenting prevent the expansion of intramural hematoma and optimize PCI outcomes in patients with spontaneous coronary artery dissection?
Does coronary artery fenestration with cutting balloon angioplasty prior to stenting prevent the expansion of intramural hematoma and optimize PCI outcomes in patients with spontaneous coronary artery dissection?
Coronary artery fenestration with cutting balloon angioplasty prior to stenting may prevent intramural hematoma expansion and optimize outcomes in patients with spontaneous coronary artery dissection.
May aid complex SCAD PCI; hypothesis-generating and requires prospective validation before adoption.
Percutaneous coronary intervention (PCI) in patients with spontaneous coronary artery dissection is associated with high rates of complications and suboptimal long-term outcomes. Coronary artery fenestration with cutting balloon angioplasty prior to stenting can prevent the expansion of intramural hematoma and optimize PCI outcomes in this patient population.
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Alkhouli et al. (2015) studied this question.
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