scholarly journals Desmin‐related myopathy characterized by non‐compaction cardiomyopathy, cardiac conduction defect, and coronary artery dissection

2020 ◽  
Vol 7 (3) ◽  
pp. 1338-1343
Author(s):  
Ran Tamiya ◽  
Yuki Saito ◽  
Daisuke Fukamachi ◽  
Koichi Nagashima ◽  
Yoshihiro Aizawa ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Conduction ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Cardiac Conduction Defect ◽  
Conduction Defect

Young women undergoing percutaneous coronary intervention for spontaneous coronary artery dissection

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yosuke Inoue ◽  
Akihito Tanaka ◽  
Hiroshi Asano ◽  
Yusuke Uemura ◽  
Kensuke Takagi ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Young Women ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary

A Profile of Candidate Causal Genes of Spontaneous Coronary Artery Dissection Identified Through Machine Learning

2020 ◽  
Author(s):  
Yang Sun ◽  
Lei Xiao ◽  
Yanghui Chen ◽  
Shiyang Li ◽  
Dong Hu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Causal Genes

Spontaneous and catheter-induced secondary coronary artery dissection: a single-centre experience

2008 ◽  
Vol 63 (2) ◽  
pp. 203-206 ◽  
Author(s):  
J. Bulum ◽  
M. Strozzi ◽  
A. Smalcelj
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Single Centre ◽  
Coronary Artery Dissection ◽  
Single Centre Experience

scholarly journals TCTAP C-211 Coronary Artery Dissection - Treat or No Treat

2019 ◽  
Vol 73 (15) ◽  
pp. S272
Author(s):  
Chong Mow Chu
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Coronary Artery Dissection

Percutaneous coronary intervention in spontaneous coronary artery dissection: a case-control study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
D Kotecha ◽  
A.D.P.E Premawardhana ◽  
M Garcia-Guimaraes ◽  
D Pellegrini ◽  
A.D Wood ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Case Control Study ◽  
Case Control ◽  
Artery Dissection ◽  
Funding Source ◽  
Complication Rates ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Control Study ◽  
Reduced Flow

Abstract Background Spontaneous Coronary Artery Dissection (SCAD) is an important cause of acute coronary syndrome particularly in young-middle aged women. Revascularisation is challenging due to an underlying disrupted and friable coronary vessel wall leading to widely reported worse outcomes than for atherosclerotic coronary disease. Therefore, a conservative approach where possible is favoured however in some cases haemodynamic instability, ongoing ischaemia and reduced distal flow mandates consideration of revascularisation. Purpose To compare SCAD survivors managed with PCI or conservatively in terms of presentation characteristics, complications and long-term outcomes. Methodology and results 226 angiographically confirmed SCAD survivors (95% female,47±9.7yrs) who underwent PCI were compared in a case control study with two hundred and twenty-five angiographically confirmed SCAD survivors (92% female, 49±9.9yrs) who were conservatively managed. Patients were recruited from UK, Spanish and Dutch SCAD registries and both groups were well matched in terms of baseline demographics. Those treated with PCI were more likely to present with proximal SCAD (30.8% vs 7.6% P<0.01) and ST elevation myocardial infarction (STEMI) or cardiac arrest with reduced flow (32.3% vs 6.3% P<0.01). Intervention was performed with stents in 72.4%, plain old balloon angioplasty in 21.1% and wiring in 6.4% of cases and more often for multi-segment disease (40.8% vs 26.3% P<0.01). In cases with initial reduced flow undergoing PCI an improvement in flow was seen in 83%. Analysis of UK PCI cases (n=144) reveal complications in 56 (38.8%). However, when assessed for significance defined by a reduction in flow in a proximal/mid vessel, stent extension into left main stem, iatrogenic dissection requiring PCI and CABG as a consequence of PCI only 13 cases (9%) met criteria. Iatrogenic dissection accounts for the majority (76.9%). SCAD lesion length was associated with presence of complications (P=0.025). There was a non-significant trend towards major adverse cardiovascular events (MACE) occurring more frequently in those undergoing PCI (18% vs 11% P=0.067) driven by revascularisation (5% vs 1% P=0.036). Median follow up was 2.7 years. Conclusions PCI in SCAD is often performed in higher risk patients; in those presenting with reduced flow, the majority demonstrate improvement. Importantly whilst overall complication rates were similar to those widely reported, clinically significant complications were low. Multivariate modelling will reveal factors associated with complications to aid future decision making in this challenging patient group. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): British Heart Foundation

Surgical management of spontaneous left main coronary artery dissection

1998 ◽  
Vol 66 (1) ◽  
pp. 258-260 ◽  
Author(s):  
Patricia A Thistlethwaite ◽  
Riyad Y Tarazi ◽  
Frank J Giordano ◽  
Stuart W Jamieson
Keyword(s):  
Coronary Artery ◽  
Surgical Management ◽  
Left Main Coronary Artery ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection
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