Directional coronary atherectomy provides a potential new option for treating spontaneous coronary dissection in the cardiac catheterization laboratory.
May offer a catheter-based option in select cases; leaves open the need for prospective validation of safety and efficacy.
We report a case of spontaneous coronary dissection occurring in a middle aged male which was treated with thrombolytic therapy and directional coronary atherectomy. This technique provides a new option for treating this entity in the cardiac catheterization laboratory.
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Charney et al. (1993) studied this question.
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