Key result
Balloon-assisted hematoma fenestration restores coronary flow in SCAD as an alternative to stenting.
Why the study?
The management of spontaneous coronary artery dissection (SCAD), especially with ST-segment elevation myocardial infarction, lacks randomized data and has limitations with stenting to restore coronary flow.
Balloon assisted hematoma fenestration may serve as a viable alternative to stenting for restoring coronary flow in complex cases of spontaneous coronary artery dissection.
May offer bailout option in refractory SCAD; hypothesis-generating case report requiring prospective validation.
The management of spontaneous coronary artery dissection (SCAD) is lacking randomized data. This also holds for SCAD with ST-segment elevation myocardial infarction where stenting has been used to restore coronary flow. This approach can be associated with many drawbacks. Therefore, we present an alternative approach to stenting when coronary flow cannot be restored using cutting balloons alone.
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Besis et al. (2023) studied this question. Balloon-assisted hematoma fenestration offers an alternative to stenting for restoring coronary flow in spontaneous coronary artery dissection when cutting balloons alone are insufficient.
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