Key result
Conservative management appears feasible for stable, asymptomatic low-grade iatrogenic LMCA dissection.
Why the study?
Revascularization is mostly recommended for iatrogenic left main coronary artery dissection due to risk of catastrophic sequelae, but feasibility of conservative treatment in stable patients with low-grade dissection is uncertain.
Is conservative treatment feasible in asymptomatic and hemodynamically stable patients with low-grade iatrogenic left main coronary artery dissection?
Case Report (n=2)
Is conservative treatment feasible in asymptomatic and hemodynamically stable patients with low-grade iatrogenic left main coronary artery dissection?
Conservative management may be a feasible alternative to revascularization for low-grade iatrogenic left main coronary artery dissection in asymptomatic, hemodynamically stable patients.
Answers are grounded in this paper and cite their sources.
Conservative management may be feasible in select stable patients with low-grade iatrogenic left main dissection; hypothesis-generating and should not yet change practice.
Revascularization treatment is mostly recommended for iatrogenic left main coronary artery dissection because of potential for catastrophic sequel, even in case of initial TIMI 3 flow and hemodynamic stability. However, conservative treatment seems to be feasible in asymptomatic and hemodinamically stable patient with low-grade dissection. We report two cases of iatrogenic left main coronary dissection managed conservatively.
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Çeli̇k et al. (2013) conducted a case report in Iatrogenic left main coronary artery dissection (n=2). Conservative treatment was evaluated. Conservative treatment appears feasible for asymptomatic and hemodynamically stable patients with low-grade iatrogenic left main coronary artery dissection.
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