Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting?
Spontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet. The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial. The case described is that of a young, otherwise healthy woman, who p...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/639384 |
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| author | A. Arrivi M. Bazzucchi M. De Paolis A. Placanica C. Bock C. Milici E. Boschetti M. Dominici |
| author_facet | A. Arrivi M. Bazzucchi M. De Paolis A. Placanica C. Bock C. Milici E. Boschetti M. Dominici |
| author_sort | A. Arrivi |
| collection | DOAJ |
| description | Spontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet. The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial. The case described is that of a young, otherwise healthy woman, who presented with an ostial dissection of the left anterior descending (LAD) artery. Due to patient’s stable clinical and hemodynamic parameters, we used a cautious approach based on watchful waiting and medical therapy, postponing stenting in order to achieve a partial vessel reopening with a more comfortable access to PCI. |
| format | Article |
| id | doaj-art-e61cd350cf4e4335a4115ce634c0587b |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-e61cd350cf4e4335a4115ce634c0587b2025-02-03T07:25:13ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/639384639384Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting?A. Arrivi0M. Bazzucchi1M. De Paolis2A. Placanica3C. Bock4C. Milici5E. Boschetti6M. Dominici7Interventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalySpontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet. The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial. The case described is that of a young, otherwise healthy woman, who presented with an ostial dissection of the left anterior descending (LAD) artery. Due to patient’s stable clinical and hemodynamic parameters, we used a cautious approach based on watchful waiting and medical therapy, postponing stenting in order to achieve a partial vessel reopening with a more comfortable access to PCI.http://dx.doi.org/10.1155/2013/639384 |
| spellingShingle | A. Arrivi M. Bazzucchi M. De Paolis A. Placanica C. Bock C. Milici E. Boschetti M. Dominici Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? Case Reports in Vascular Medicine |
| title | Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? |
| title_full | Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? |
| title_fullStr | Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? |
| title_full_unstemmed | Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? |
| title_short | Spontaneous-Idiopathic Left Anterior Descending Artery Dissection: Is Watchful Waiting Better Than Immediate Stenting? |
| title_sort | spontaneous idiopathic left anterior descending artery dissection is watchful waiting better than immediate stenting |
| url | http://dx.doi.org/10.1155/2013/639384 |
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