The pull-back of an inflated cutting balloon may be a useful stent-free therapeutic option for restoring coronary flow in patients with SCAD and ongoing ischemia.
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May support stent-free options in select SCAD with ischemia; leaves open safety and efficacy pending prospective studies.
This report describes a 46-year-old woman with ST-elevation myocardial infarction due to spontaneous coronary artery dissection. Because continuous chest pain and ST-segment elevation in electrocardiography indicated ongoing cardiac ischemia, the urgent revascularization strategy was used using a novel method of cutting balloon angioplasty, "the pull-back of inflated cutting balloon," which led to the successful coronary flow restoration and complete healing of dissected coronary artery in 1 year. The pull-back of the inflated cutting balloon method is a useful therapeutic option in the treatment of patients with spontaneous coronary artery dissection with ongoing cardiac ischemia.
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Kaya et al. (2019) studied this question.
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