Giuseppe Colletti , Gabriele Gasparini L. , Mihai Cocoi , Alexandre Natalis , Pierpasquale Leone , Claudiu Ungureanu
{"title":"True lumen wiring in spontaneous coronary artery dissection – Keep it true","authors":"Giuseppe Colletti , Gabriele Gasparini L. , Mihai Cocoi , Alexandre Natalis , Pierpasquale Leone , Claudiu Ungureanu","doi":"10.1016/j.crmic.2024.100036","DOIUrl":null,"url":null,"abstract":"<div><p>Spontaneous coronary artery dissection (SCAD) poses a significant challenge in young female patients presenting with acute coronary syndromes. We report a case of a 43-year-old female presenting with non-ST elevation acute coronary syndrome, diagnosed with SCAD. Utilizing a Suoh 0.3 guidewire and microcatheter, successful percutaneous intervention was achieved. Notably, once a position in the true lumen was established, the use of a dual-lumen microcatheter facilitated the identification of the main branch of the true lumen through side-port contrast injection and enabled safe delivery of a second wire within it. This highlights the importance of tailored interventions and innovative tools in managing SCAD effectively.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"3 ","pages":"Article 100036"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000327/pdfft?md5=57e3f7708093f4ec40b1e083319c018d&pid=1-s2.0-S2950275624000327-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275624000327","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Spontaneous coronary artery dissection (SCAD) poses a significant challenge in young female patients presenting with acute coronary syndromes. We report a case of a 43-year-old female presenting with non-ST elevation acute coronary syndrome, diagnosed with SCAD. Utilizing a Suoh 0.3 guidewire and microcatheter, successful percutaneous intervention was achieved. Notably, once a position in the true lumen was established, the use of a dual-lumen microcatheter facilitated the identification of the main branch of the true lumen through side-port contrast injection and enabled safe delivery of a second wire within it. This highlights the importance of tailored interventions and innovative tools in managing SCAD effectively.
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