Research Article

Outcomes of Percutaneous Coronary Intervention in Patients with Spontaneous Coronary Artery Dissection

Table 4

PCI procedural details and outcomes.

N (%), mean ± SDOverall N = 75Successful N = 26 (34.7)Partial success N = 28 (37.3)Unsuccessful N = 21 (28.0)

Procedures
Wiring only8 (10.7)0 (0)0 (0)8 (38.1)
Balloon only12 [16]1 (3.8)3 (10.7)8 (38.1)
Cutting balloon1 (1.3)1 (3.8)0 (0)0 (0)
Stent55 (73.3)25 (96.2)25 (89.3)5 (23.8)
Unplanned stents22 (40.0)9 (36.0)12 (48.0)1 (20.0)
Mean number of stents2.6 ± 1.82.6 ± 1.42.8 ± 2.21.4 ± 0.5
>3 stents used11 [15]5 [17]6 (24)0 (0)
Propagation of dissection33 (44.0)10 (38.5)14 (50.0)9 (42.9)
Residual dissection44 (58.7)0 (0)24 (86.7)20 (95.2)
Bailout emergency CABG4 (5.3)0 (0)1 (3.6)3 (14.3)
Stent thrombosis/closure4 (5.3)0 (0)2 (7.1)2 (9.5)

Final TIMI flow
011 (14.7)0 (0)0 (0)11 (52.4)
16 (8.0)0 (0)0 (0)6 (28.6)
24 (5.3)0 (0)2 (7.1)2 (9.5)
354 (72.0)26 (100)26 (92.9)2 (9.5)

PCI effect on TIMI flow
Improved47 (62.7)21 (80.8)25 (89.3)1 (4.8)
Unchanged24 (32.0)5 (19.2)3 (10.7)16 (76.2)
Worse4 (5.3)0 (0)0 (0)4 (19.0)