Evidence map›Paper›PMID 41400612›Full record

ArticleJACC. Case reports2026

Spontaneous Coronary Artery Dissection: Suggesting a Reproducible Stepwise Approach for a Successful PCI.

Mohamed Aymen Ben Abdessalem, Marouane Yengui, Jaouaher Ben Hafsa, Zied Ben Ameur, Hamza Ellini, Hedi Frigui, Imen Bouhlel, Nejeh Ben Halima, Samia Ernez Hajri, Abdallah Mahdhaoui

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Mohamed Aymen Ben AbdessalemFarhat Hached University Hospital, Sousse, Tunisia; Research Laboratory Lr14ES05, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia. Electronic address: Aymen.abdessalem@aol.com.
Marouane YenguiFarhat Hached University Hospital, Sousse, Tunisia; Research Laboratory Lr14ES05, Sousse, Tunisia.
Jaouaher Ben HafsaFarhat Hached University Hospital, Sousse, Tunisia; Research Laboratory Lr14ES05, Sousse, Tunisia.
Zied Ben AmeurFarhat Hached University Hospital, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Hamza ElliniFarhat Hached University Hospital, Sousse, Tunisia; Research Laboratory Lr14ES05, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Hedi FriguiFarhat Hached University Hospital, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Imen BouhlelFarhat Hached University Hospital, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Nejeh Ben HalimaFarhat Hached University Hospital, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Samia Ernez HajriFarhat Hached University Hospital, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.
Abdallah MahdhaouiFarhat Hached University Hospital, Sousse, Tunisia; Research Laboratory Lr14ES05, Sousse, Tunisia; Faculty of Medicine Ibn Al-Jazzar Sousse, University of Sousse, Sousse, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough conservative therapy is usually preferred, percutaneous interventions may be required in cases of ongoing ischemia or vessel occlusion during spontaneous coronary artery dissection (SCAD). CASE SUMMARY: We report the case of a 46-year-old woman with no cardiovascular risk factors presenting with anterior ST-segment elevation myocardial infarction. Angiography showed acute occlusion of the mid left anterior descending artery. After wiring with a low tip load wire and under intravascular ultrasound guidance, a "cuttering" technique was applied. DISCUSSION: Percutaneous coronary intervention when indicated in SCAD yields poor outcomes and frequent complications. The lowest tip load wire must be used to avoid extending the dissection. Intravascular ultrasound recognizes the area of maximum compression and helps choose the adequate size of the cutting balloon. Inflation of this balloon is not sufficient, and the "cuttering" technique can be effective for fenestrating and compressing the hematoma.

conclusionsIn this case report, we suggest a reproducible stepwise approach that can maximize the chance to manage ST-segment elevation myocardial infarction caused by an occlusive SCAD.

Indexed as

acute coronary syndromedissectionpercutaneous coronary intervention

Identifiers

PMID41400612
PMCPMC12881271

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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.