Drug eluting stents trapping intramural hematoma in spontaneous coronary artery dissection and healing pattern at six months: optical coherence tomography findings

Karl Poon; Alexander Incani; Andrew Small; O Christopher Raffel

doi:10.1016/j.carrev.2012.10.007

Drug eluting stents trapping intramural hematoma in spontaneous coronary artery dissection and healing pattern at six months: optical coherence tomography findings

Cardiovasc Revasc Med. 2013 May-Jun;14(3):183-6. doi: 10.1016/j.carrev.2012.10.007. Epub 2012 Nov 20.

Authors

Karl Poon¹, Alexander Incani, Andrew Small, O Christopher Raffel

Affiliation

¹ Cardiology Program, The Prince Charles Hospital, Rode Road, Chermside, 4032, Brisbane, Australia. [email protected]

PMID: 23182173
DOI: 10.1016/j.carrev.2012.10.007

Abstract

Spontaneous coronary artery dissections (SCAD) are often difficult to diagnose and manage. Intravascular imaging such as optical coherence tomography (OCT) improves diagnosis and may assist in management. Recent data suggest that percutaneous coronary interventions (PCI) in in SCAD are associated with poor outcomes. This report provides striking OCT images of potential complications associated with PCI in SCAD, as well as demonstrates medium term OCT data in residual hematoma healing and stent coverage in SCAD.

Publication types

Case Reports

MeSH terms

Aortic Dissection / complications
Aortic Dissection / diagnostic imaging
Aortic Dissection / pathology
Aortic Dissection / therapy*
Coronary Aneurysm / complications
Coronary Aneurysm / diagnostic imaging
Coronary Aneurysm / pathology
Coronary Aneurysm / therapy*
Coronary Angiography
Coronary Vessels / diagnostic imaging
Coronary Vessels / pathology*
Drug-Eluting Stents*
Female
Hematoma / diagnostic imaging
Hematoma / etiology
Hematoma / pathology
Hematoma / therapy*
Humans
Middle Aged
Percutaneous Coronary Intervention / instrumentation*
Predictive Value of Tests
Prosthesis Design
Time Factors
Tomography, Optical Coherence*
Treatment Outcome
Wound Healing*