Management and Long-Term Prognosis of Spontaneous Coronary Artery Dissection

作者: Corrado Lettieri , Dennis Zavalloni , Roberta Rossini , Nuccia Morici , Federica Ettori

DOI: 10.1016/J.AMJCARD.2015.03.039

关键词:

摘要: The optimal management and short- long-term prognoses of spontaneous coronary artery dissection (SCAD) remain not well defined. aim this observational multicenter study was to assess clinical outcomes in patients with SCAD. In-hospital were assessed 134 documented SCAD, as the impact predictors a conservative rather than revascularization strategy treatment. mean age 52 ± 11, years 81% female. SCAD presented an acute syndromes 93% patients. A performed 58% 42%. On multivariate analysis, distal versus proximal or mid location (odds ratio 9.27) basal Thrombolysis In Myocardial Infarction (TIMI) flow grade 2 3 0 1 0.20) independent strategy. associated better in-hospital compared (rates major adverse cardiac events 3.8% 16.1%, respectively, p = 0.028); however, no significant differences observed outcomes. conclusion, large angiographic features significantly influenced treatment strategy, providing excellent prognosis.

参考文章(25)
Ali Nasur, James A Diggs, Parastoo Shariat, Rajesh S Chintala, Mohammad Ghazvini, Steven N Singh, Behrooz K Shamloo, Spontaneous coronary artery dissection: aggressive vs. conservative therapy. Journal of Invasive Cardiology. ,vol. 22, pp. 222- 228 ,(2010)
Fernando Alfonso, Manuel Paulo, Vera Lennie, Jaime Dutary, Esther Bernardo, Pilar Jiménez-Quevedo, Nieves Gonzalo, Javier Escaned, Camino Bañuelos, María J. Pérez-Vizcayno, Rosana Hernández, Carlos Macaya, Spontaneous Coronary Artery Dissection JACC: Cardiovascular Interventions. ,vol. 5, pp. 1062- 1070 ,(2012) , 10.1016/J.JCIN.2012.06.014
James W. Choi, Charles J. Davidson, Spontaneous multivessel coronary artery dissection in a long-distance runner successfully treated with oral antiplatelet therapy. Journal of Invasive Cardiology. ,vol. 14, pp. 675- 678 ,(2002)
K.H. Mortensen, L. Thuesen, I.B. Kristensen, E.H. Christiansen, Spontaneous coronary artery dissection: A Western Denmark Heart Registry Study Catheterization and Cardiovascular Interventions. ,vol. 74, pp. 710- 717 ,(2009) , 10.1002/CCD.22115
Colm G. Hanratty, Pascal P. McKeown, D.Barry O'Keeffe, Coronary stenting in the setting of spontaneous coronary artery dissection. International Journal of Cardiology. ,vol. 67, pp. 197- 199 ,(1998) , 10.1016/S0167-5273(98)00233-2
Ralph L. Sacco, Scott E. Kasner, Joseph P. Broderick, Louis R. Caplan, J.J. (Buddy) Connors, Antonio Culebras, Mitchell S.V. Elkind, Mary G. George, Allen D. Hamdan, Randall T. Higashida, Brian L. Hoh, L. Scott Janis, Carlos S. Kase, Dawn O. Kleindorfer, Jin-Moo Lee, Michael E. Moseley, Eric D. Peterson, Tanya N. Turan, Amy L. Valderrama, Harry V. Vinters, An Updated Definition of Stroke for the 21st Century Stroke. ,vol. 44, pp. 2064- 2089 ,(2013) , 10.1161/STR.0B013E318296AECA
Michael S. Huber, Jodi Fishman Mooney, James Madison, Michael R. Mooney, Use of a morphologic classification to predict clinical outcome after dissection from coronary angioplasty The American Journal of Cardiology. ,vol. 68, pp. 467- 471 ,(1991) , 10.1016/0002-9149(91)90780-O
Woong Chol Kang, Kyu-Jin Oh, Seung Hwan Han, Tae Hoon Ahn, Eak Kyun Shin, None, Progression of dissection due to residual dissection after intracoronary stenting for spontaneous coronary dissection at bifurcation site of LAD and diagonal artery. International Journal of Cardiology. ,vol. 125, ,(2008) , 10.1016/J.IJCARD.2006.12.049
Judith S Hochman, Lynn A Sleeper, John G Webb, Timothy A Sanborn, Harvey D White, J David Talley, Christopher E Buller, Alice K Jacobs, James N Slater, Jacques Col, Sonja M McKinlay, Michael H Picard, Mark A Menegus, Jean Boland, Vladimir Dzavik, Christopher R Thompson, S Chiu Wong, Richard Steingart, Robert Forman, Philip E Aylward, Emilie Godfrey, Patrice Desvigne-Nickens, Thierry H LeJemtel, None, Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock The New England Journal of Medicine. ,vol. 341, pp. 625- 634 ,(1999) , 10.1056/NEJM199908263410901
Akiko Maehara, Gary S Mintz, Marco T Castagna, August D Pichard, Lowell F Satler, Ron Waksman, William O Suddath, Kenneth M Kent, Neil J Weissman, Intravascular ultrasound assessment of spontaneous coronary artery dissection. American Journal of Cardiology. ,vol. 89, pp. 466- 468 ,(2002) , 10.1016/S0002-9149(01)02272-X