The Use of Cutting Balloons in Published Cases of Acute Coronary Syndrome Caused by Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is a non-traumatic, non-atherosclerotic layering of the wall due to presence subintimal hematoma or an intimal tear with creation false lumen that compresses true and restricts obstructs flow. Patients SCAD preserved flow are treated conservatively according general recommendations. However, percutaneous intervention should be considered in patients occlusion and/or refractory ischemia. Stenting associated increased risks comprising stenting lumen, in-stent thrombosis, stent malappositon as well antegrade retrograde propagation intramural hematoma. Intracoronary imaging great value both for diagnosis treatment SCAD. There rising scrutiny on use cutting balloons acute syndrome caused by The idea using fenestrate intima drain Our review presents analysis 17 published cases balloon (CB) What encouraging 12 cases, 11 Thrombolysis Myocardial Infarction (TIMI) 3 was established this technique, TIMI 2 one, without subsequent implantation. Four received after CB use, while one patient underwent angioplasty In all were asymptomatic at follow-up,