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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Multivessel Spontaneous Coronary Artery Dissection With Cardiogenic Shock: A Systematic Review

Ekaterina Kovatsenko1, Ayman Battisha

  • 1From the Division of Cardiology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY.

Cardiology in Review
|June 10, 2026
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) involves vessel tears causing blockages and potential cardiogenic shock. This review examines managing multivessel SCAD, aiming to improve patient outcomes.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Medical Research

Background:

  • Spontaneous coronary artery dissection (SCAD) involves nonatherosclerotic tears in coronary vessels.
  • Intravascular hematoma formation can compress the lumen, obstructing blood flow.
  • This obstruction can lead to acute coronary syndrome and cardiogenic shock.

Purpose of the Study:

  • To systematically review the clinical management of multivessel SCAD.
  • To address the lack of established guidelines for multivessel SCAD.
  • To inform approaches for minimizing morbidity and mortality in these cases.

Main Methods:

  • Systematic literature review.
  • Analysis of clinical management strategies for multivessel SCAD.
  • Focus on cases complicated by cardiogenic shock.

Main Results:

  • Limited literature exists on managing multivessel SCAD.
  • No official guidelines are currently available for reference.
  • The review synthesizes current approaches in the absence of established protocols.

Conclusions:

  • Multivessel SCAD management, especially with cardiogenic shock, requires further investigation.
  • Generating dialogue on effective treatment strategies is crucial.
  • The study aims to contribute to developing cogent approaches for better patient outcomes.

Keywords:
ST-segment elevation myocardial infarctioncardiogenic shockmultivessel, dissectionspontaneous coronary artery dissections

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