Evidence map›Paper›PMID 40459672›Full record

ReviewCurrent cardiology reports2025

Interventional Management of Intracoronary Dissection/Hematoma: A Comprehensive Review.

Federico Giannino, Gabriele Carciotto, Francesco Pallante, Gabriele Monciino, Matteo Mancuso, Davide Raspanti, Giustina Iuvara, Manuela Ajello, Stefania Lo Giudice, Marcello Marchetta and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Federico GianninoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.ORCID http://orcid.org/0000-0002-1392-2472
Gabriele CarciottoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Francesco PallanteDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Gabriele MonciinoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Matteo MancusoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Davide RaspantiDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Giustina IuvaraDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Manuela AjelloDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Stefania Lo GiudiceDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Marcello MarchettaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Samuel La ColaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Maurizio Cusmà PiccioneDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Vittorio VirgaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.
Antonio MicariDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy. micariantonio@gmail.it.
Giampiero VizzariDepartment of Clinical and Experimental Medicine, University of Messina, Messina, 98122, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewIntracoronary dissection and hematoma are rare but significant causes of acute coronary syndromes (ACS), often leading to myocardial ischemia and infarction. Given their heterogeneous clinical presentation and the limited evidence on optimal management strategies, this review aims to evaluate current treatment approaches, including conservative, percutaneous, and surgical options, while highlighting emerging innovations and future research directions. RECENT

findingsRecent studies emphasize the role of advanced intracoronary imaging techniques, such as optical coherence tomography (OCT) and intravascular ultrasound (IVUS), in improving diagnostic accuracy and guiding therapeutic decisions. Conservative management is increasingly recognized as a viable option for stable patients, offering favorable long-term outcomes. Percutaneous coronary intervention (PCI) is indicated in cases with ongoing ischemia, hemodynamic instability, or high-risk anatomical features, though it carries risks such as dissection propagation and coronary rupture. Surgical intervention remains essential in cases of failed PCI or left main stem involvement, demonstrating high survival rates despite procedural challenges. Tailored therapeutic strategies, informed by patient-specific factors and intracoronary imaging, are crucial for optimizing outcomes in intracoronary dissection and hematoma. While conservative management is effective in selected cases, PCI and surgical interventions remain vital for high-risk patients. Future research should focus on refining risk stratification tools, improving imaging modalities, and developing standardized treatment algorithms to enhance patient care and clinical outcomes.

Indexed as

Acute Coronary SyndromeAortic DissectionCoronary VesselsHematomaPercutaneous Coronary InterventionConservative TreatmentCoronary Vessel AnomaliesHumansTomography, Optical CoherenceUltrasonography, InterventionalVascular DiseasesIntracoronary dissectionIntramural hematomaPercutaneous coronary interventionSpontaneous coronary artery dissection

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.