title: Percutaneous Coronary Intervention in Spontaneous Coronary Artery Dissection: Role of Intravascular Ultrasound.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare, life-threatening condition that usually manifests as an acute myocardial infarction. Diagnosing SCAD with conventional coronary angiogram can be challenging, particularly if the true lumen is severely narrowed. Our case highlights the challenges in performing successful percutaneous coronary intervention (PCI) in patients with SCAD. Intravascular ultrasound can prove to be a pivotal tool in the diagnosis and successful management of such cases by establishing the anatomic site of dissection, and confirming stent placement in the true lumen following PCI.
authors.affiliation: Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, USA. ankur.kalra@hcmed.org.
authors.forename: Ankur
authors.initials: A
authors.lastname: Kalra
authors.affiliation: Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.
authors.forename: Avin
authors.initials: A
authors.lastname: Aggarwal
authors.affiliation: Arizona College of Osteopathic Medicine, Midwestern University, Glendale, AZ, USA.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kneeland
authors.affiliation: Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, USA.|Department of Cardiology, University of Minnesota Medical School, Minneapolis, MN, USA.
authors.forename: Jay H
authors.initials: JH
authors.lastname: Traverse
keywords: Cardiology; False lumen; Intravascular ultrasound; Percutaneous coronary intervention; Postpartum dissection; Spontaneous coronary artery dissection