Presentation is loading. Please wait.

Presentation is loading. Please wait.

Spontaneous Coronary Artery Dissection

Similar presentations


Presentation on theme: "Spontaneous Coronary Artery Dissection"— Presentation transcript:

1 Spontaneous Coronary Artery Dissection
by Jacqueline Saw, Eve Aymong, Tara Sedlak, Christopher E. Buller, Andrew Starovoytov, Donald Ricci, Simon Robinson, Tycho Vuurmans, Min Gao, Karin Humphries, and G.B. John Mancini Circ Cardiovasc Interv Volume 7(5): October 21, 2014 Copyright © American Heart Association, Inc. All rights reserved.

2 A, Type 1 angiographic spontaneous coronary artery dissection (SCAD) showing multiple radiolucent lumen with contrast extravasation into the arterial wall. A, Type 1 angiographic spontaneous coronary artery dissection (SCAD) showing multiple radiolucent lumen with contrast extravasation into the arterial wall. B, Type 2 angiographic SCAD showing diffuse long stenosis of the left anterior descending (in between the arrows). C, Type 3 angiographic SCAD mimicking atherosclerosis of an obtuse marginal artery (in between in the arrows), confirmed on OCT with the presence of intramural hematoma (D). Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

3 Histogram showing the age distribution.
Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

4 Frequency of spontaneous coronary artery dissection (SCAD) affecting different coronary arterial segments. d indicates distal; LAD, left anterior descending; LCX, left circumflex; LM, left main; m, mid; OM, obtuse marginal; p, proximal; PDA, posterior descending artery; PL, posterolateral; and RCA, right coronary artery. Frequency of spontaneous coronary artery dissection (SCAD) affecting different coronary arterial segments. d indicates distal; LAD, left anterior descending; LCX, left circumflex; LM, left main; m, mid; OM, obtuse marginal; p, proximal; PDA, posterior descending artery; PL, posterolateral; and RCA, right coronary artery. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

5 Chart describing the initial and subsequent management strategies of the 168 patients with nonatherosclerotic spontaneous coronary artery dissection (SCAD). Chart describing the initial and subsequent management strategies of the 168 patients with nonatherosclerotic spontaneous coronary artery dissection (SCAD). CABG indicates coronary artery bypass surgery; and PCI, percutaneous coronary intervention. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

6 Chart showing the outcomes of conservatively managed patients.
Chart showing the outcomes of conservatively managed patients. CABG indicates coronary artery bypass surgery; CTA, computed tomographic angiography; MI, myocardial infarction; and PCI, percutaneous coronary intervention. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

7 Chart showing the outcomes of patients who underwent percutaneous coronary intervention (PCI).
Chart showing the outcomes of patients who underwent percutaneous coronary intervention (PCI). CABG indicates coronary artery bypass surgery; ISR, in-stent restenosis; LM, left main; and POBA, plain old balloon angioplasty. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

8 Kaplan–Meier major adverse cardiac event (MACE) curve, segregated according to retrospectively identified and prospectively identified cohorts. Kaplan–Meier major adverse cardiac event (MACE) curve, segregated according to retrospectively identified and prospectively identified cohorts. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.

9 Suggested management (revascularization) algorithm for patients with Nonatherosclerotic spontaneous coronary artery dissection (SCAD). Suggested management (revascularization) algorithm for patients with Nonatherosclerotic spontaneous coronary artery dissection (SCAD). CABG indicates coronary artery bypass surgery; CP, chest pain; ECMO, extracorporeal membrane oxygenation; IABP, intra-aortic balloon pump; ICD, implantable cardioverter-defibrillator; LAD, left anterior descending; LM, left main; PCI, percutaneous coronary intervention; and VT/VF, ventricular tachycardia/ventricular fibrillation. Jacqueline Saw et al. Circ Cardiovasc Interv. 2014;7: Copyright © American Heart Association, Inc. All rights reserved.


Download ppt "Spontaneous Coronary Artery Dissection"

Similar presentations


Ads by Google