Antegrade Dissection Re-Entry After Subintimal Wiring of an Occluded Vessel From Spontaneous Coronary Artery Dissection

David V. Daniels, Vedant S. Pargaonkar, Takeshi Nishi, Jennifer A. Tremmel
2020 JACC Case Reports  
Percutaneous management of spontaneous coronary artery dissection (SCAD) is challenging, with high procedural failure rates. We present a case of successful revascularization using antegrade dissection re-entry after failing to wire the true lumen in occlusive SCAD. Utilizing such alternative strategies may improve procedural success in this poorly understood patient subset. (Level of Difficulty: Advanced.) (J Am Coll Cardiol Case Rep 2020;2:72-6)
doi:10.1016/j.jaccas.2019.12.001 fatcat:rbp5jcehzfbwdoiu5wqoz6s2xe