Angiographic and interventional management of spontaneous coronary artery dissections: When less is more, or “When ‘Better’ flow is the enemy of good flow”

Key Points

• Conservative management of SCAD in clinically stable patients with non-flow limiting lesions in major arteries is associated with favorable outcomes
• A careful, methodical approach to pursuing PCI in patients with SCAD is warranted
• Peripartum patients with SCAD appear to be at higher risk for technical complications; interventions in these patients should be performed by highly experienced operators

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