Spontaneous Intimal Dissection in a Patient with Post-Infarct Angina: Identification with Intravascular Ultrasound and Treatment with Coronary Stenting
View Full Paper
Ask AI
Bookmark
Share
Key result
Intravascular ultrasound identified a spontaneous intimal dissection in a nonobstructive lesion, and coronary stenting provided successful relief of post-infarct angina over a 6-month follow-up.
Why the study?
Does IVUS-guided coronary stenting improve symptoms in a patient with post-infarct angina and spontaneous intimal dissection in a nonobstructive coronary lesion?
Population
45-year-old Turkish male with acute myocardial infarction and post-infarct angina, with a history of two…
Design
Case_report
Follow-up
6 months
Authors
Discussion
Loading...
Member takes
Implication
IVUS may identify stenting targets in nonobstructive post-MI angina; leaves open whether this approach improves outcomes versus medical therapy.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
Does IVUS-guided coronary stenting improve symptoms in a patient with post-infarct angina and spontaneous intimal dissection in a nonobstructive coronary lesion?
P
Population
A 45-year-old male with recurrent myocardial infarctions and post-infarct angina, evaluated with intravascular ultrasound and treated with coronary stenting, followed for 6 months.
I
Intervention
Intravascular ultrasound (IVUS) followed by coronary stenting (17 mm and 3.0 mm) of a dissected plaque in the left anterior descending artery.
O
Outcome
Relief of on-going chest pain and asymptomatic status at 6-month follow-up.patient reported
IVUS can identify plaque dissection in mildly stenotic lesions in patients with acute coronary syndromes and normal or nonobstructive angiograms, which may be successfully treated with stenting.
Limitations
- The optimal treatment for such lesions is not known
- Single case report limits generalizability
Cite This Study
Iyısoy et al. (2003) conducted a case report in Post-infarct angina with spontaneous intimal dissection (n=1). Intravascular ultrasound and coronary stenting was evaluated on Symptom relief. Intravascular ultrasound identified a spontaneous intimal dissection in a nonobstructive lesion, and coronary stenting provided successful relief of post-infarct angina over a 6-month follow-up.
Topics
View Full Paper
Ask AI
Bookmark
Share