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Successful Treatment of Spontaneous Coronary Artery Dissection With Subintimal Tracking and Re-Entry Technique

Marc Bonnet, MD, Olga Toleva, MD, MPH, Luiz Fernando Ybarra, MD, PhD and 1 more

JACC: Case Reports · 2019

doi:10.1016/j.jaccas.2019.09.020 (opens in a new tab)

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Abstract

Percutaneous coronary intervention (PCI) remains necessary in patients with spontaneous coronary dissection (SCAD) with ongoing ischemia. However, PCI in SCAD is associated with poor results. Fenestration with a cutting balloon has been described to release the extraluminal compression. The authors describe 2 cases managed successfully with another fenestration technique—the subintimal tracking and re-entry technique. (Level of Difficulty: Advanced.)

Abstract licence: CC BY-NC-ND

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