{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:16:03Z","timestamp":1790388963373,"version":"4.1.0"},"reference-count":88,"publisher":"Japanese Circulation Society","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Circ J"],"published-print":{"date-parts":[[2026,7,24]]},"DOI":"10.1253\/circj.cj-25-0966","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:09:22Z","timestamp":1766182162000},"page":"949-955","source":"Crossref","is-referenced-by-count":2,"title":["Acute and Chronic Management of Spontaneous Coronary Artery Dissection"],"prefix":"10.1253","volume":"90","author":[{"given":"Ken","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayo","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ko","family":"Miyakoda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Tamura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Tateishi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichi","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Kitahara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshio","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"330","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Nishiguchi T, Tanaka A, Ozaki Y, Taruya A, Fukuda S, Taguchi H, et al. Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome. <i>Eur Heart J Acute Cardiovasc Care<\/i> 2016; 5: 263\u2013270.","DOI":"10.1177\/2048872613504310"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Wilander H, Pagonis C, Venetsanos D, Swahn E, Dworeck C, Johnston N, et al. Nationwide observational study of incidence, management and outcome of spontaneous coronary artery dissection: A report from the Swedish Coronary Angiography and Angioplasty register. <i>BMJ Open<\/i> 2022; 12: e060949.","DOI":"10.1136\/bmjopen-2022-060949"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Mortensen KH, Thuesen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: A Western Denmark Heart Registry study. <i>Catheter Cardiovasc Interv<\/i> 2009; 74: 710\u2013717.","DOI":"10.1002\/ccd.22115"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Vanzetto G, Berger-Coz E, Barone-Rochette G, Chavanon O, Bouvaist H, Hacini R, et al. Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: Results from a database of 11,605 patients. <i>Eur J Cardiothorac Surg<\/i> 2009; 35: 250\u2013254.","DOI":"10.1016\/j.ejcts.2008.10.023"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Nakashima T, Noguchi T, Haruta S, Yamamoto Y, Oshima S, Nakao K, et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. <i>Int J Cardiol<\/i> 2016; 207: 341\u2013348.","DOI":"10.1016\/j.ijcard.2016.01.188"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Rashid HN, Wong DT, Wijesekera H, Gutman SJ, Shanmugam VB, Gulati R, et al. Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome: A single-centre Australian experience. <i>Int J Cardiol<\/i> 2016; 202: 336\u2013338.","DOI":"10.1016\/j.ijcard.2015.09.072"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Hayes SN, Tweet MS, Adlam D, Kim ESH, Gulati R, Price JE, et al. Spontaneous coronary artery dissection: JACC State-of-the-Art Review. <i>J Am Coll Cardiol<\/i> 2020; 76: 961\u2013984.","DOI":"10.1016\/j.jacc.2020.05.084"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Yang C, Chai J, Saw J. Contemporary diagnosis and management of spontaneous coronary artery dissection. <i>Heart<\/i> 2025; 111: 1184\u20131190.","DOI":"10.1136\/heartjnl-2024-324732"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Saw J, Starovoytov A, Humphries K, Sheth T, So D, Minhas K, et al. Canadian spontaneous coronary artery dissection cohort study: In-hospital and 30-day outcomes. <i>Eur Heart J<\/i> 2019; 40: 1188\u20131197.","DOI":"10.1093\/eurheartj\/ehz007"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Lettieri C, Zavalloni D, Rossini R, Morici N, Ettori F, Leonzi O, et al. Management and long-term prognosis of spontaneous coronary artery dissection. <i>Am J Cardiol<\/i> 2015; 116: 66\u201373.","DOI":"10.1016\/j.amjcard.2015.03.039"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS, et al. Spontaneous coronary artery dissection: Revascularization versus conservative therapy. <i>Circ Cardiovasc Interv<\/i> 2014; 7: 777\u2013786.","DOI":"10.1161\/CIRCINTERVENTIONS.114.001659"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. <i>Circulation<\/i> 2012; 126: 579\u2013588.","DOI":"10.1161\/CIRCULATIONAHA.112.105718"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Benenati S, Giacobbe F, Zingarelli A, Macaya F, Biole C, Rossi A, et al. Interventional versus conservative strategy in patients with spontaneous coronary artery dissections: Insights from DISCO Registry. <i>Circ Cardiovasc Interv<\/i> 2023; 16: e012780.","DOI":"10.1161\/CIRCINTERVENTIONS.122.012780"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Kotecha D, Garcia-Guimaraes M, Premawardhana D, Pellegrini D, Oliver-Williams C, Bountziouka V, et al. Risks and benefits of percutaneous coronary intervention in spontaneous coronary artery dissection. <i>Heart<\/i> 2021; 107: 1398\u20131406.","DOI":"10.1136\/heartjnl-2020-318914"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Dang QM, Psaltis PJ, Burgess S, Chandrasekhar J, Mukherjee S, Kritharides L, et al. The Australian-New Zealand spontaneous coronary artery dissection cohort study: Predictors of major adverse cardiovascular events and recurrence. <i>Eur Heart J<\/i> 2025; 46: 2012\u20132023.","DOI":"10.1093\/eurheartj\/ehaf097"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Hassan S, Prakash R, Starovoytov A, Saw J. Natural history of spontaneous coronary artery dissection with spontaneous angiographic healing. <i>JACC Cardiovasc Interv<\/i> 2019; 12: 518\u2013527.","DOI":"10.1016\/j.jcin.2018.12.011"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, et al. Spontaneous coronary artery dissection: current state of the science: A Scientific Statement from the American Heart Association. <i>Circulation<\/i> 2018; 137: e523\u2013e557.","DOI":"10.1161\/CIR.0000000000000564"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Nishi T, Kume T, Ueno M, Kobayashi Y, Uemura S. Resolution of spontaneous coronary artery dissection involving the left main coronary artery. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 316\u2013317.","DOI":"10.1007\/s12928-024-00996-5"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Ando H, Fujimoto M, Sakurai S, Amano T. Coronary perforation identified by optical coherence tomography. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 495\u2013496.","DOI":"10.1007\/s12928-024-01016-2"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Asano T, Tanigaki T, Ikeda K, Ono M, Yokoi H, Kobayashi Y, et al. Consensus document on the clinical application of invasive functional coronary angiography from the Japanese Association of Cardiovascular Intervention and Therapeutics. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 109\u2013125.","DOI":"10.1007\/s12928-024-00988-5"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. El Harrouchi S, Ramonatxo A, Patouiller V, Levesque S. Radial artery avulsion: Case report of a rare complication in interventional cardiology. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 322\u2013323.","DOI":"10.1007\/s12928-023-00982-3"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Fazzini L, Pascalis L, Kirov H, Di Franco A, Cardoso R, Moustafa AO, et al. Safety of crushed\/chewed P2Y12 inhibitors in acute coronary syndromes: A meta-analysis of randomized controlled trials. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 268\u2013276.","DOI":"10.1007\/s12928-024-01066-6"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Fujimoto Y, Sakakura K, Fujita H. Complex and high-risk intervention in indicated patients (CHIP) in contemporary clinical practice. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 269\u2013274.","DOI":"10.1007\/s12928-023-00930-1"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Fukuyama Y, Nagoshi R, Shite J. Novel two-step kissing balloon inflation technique after bifurcation stenting under 3D-optical frequency domain imaging guidance. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 490\u2013492.","DOI":"10.1007\/s12928-024-01008-2"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25. Goriki Y, Tanaka A, Yoshioka G, Shimomura M, Node K. Acute myocardial infarction due to bioprosthetic valve thrombosis after surgical aortic valve replacement. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 436\u2013437.","DOI":"10.1007\/s12928-024-01052-y"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26. Ikari Y, Saito S, Nakamura S, Shibata Y, Yamazaki S, Tanaka Y, et al. Device indication for calcified coronary lesions based on coronary imaging findings. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 163\u2013165.","DOI":"10.1007\/s12928-023-00914-1"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27. Ikeda K, Kubo T, Murasawa T, Deguchi H, Takihara K, Nukariya M, et al. Diagnostic performance of pressure-bounded coronary flow reserve. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 164\u2013172.","DOI":"10.1007\/s12928-024-00983-w"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28. Ikuta A, Murai R, Tanaka H, Fuku Y, Kadota K. An aspiration catheter stuck in a patient with acute coronary syndrome: An unanticipated complication. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 348\u2013349.","DOI":"10.1007\/s12928-023-00909-y"},{"key":"29","doi-asserted-by":"crossref","unstructured":"29. Kawamoto T, Otsuki H, Arashi H, Jujo K, Oka T, Mori F, et al. Adverse clinical events after percutaneous coronary intervention in very elderly patients with acute coronary syndrome. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 438\u2013447.","DOI":"10.1007\/s12928-024-01020-6"},{"key":"30","doi-asserted-by":"crossref","unstructured":"30. Kikuchi H, Ishida M, Sato S, Osaki T, Morino Y. Stent-less percutaneous coronary intervention for layered plaque possibly caused by repeated coronary spasm. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 180\u2013181.","DOI":"10.1007\/s12928-024-01025-1"},{"key":"31","doi-asserted-by":"crossref","unstructured":"31. Kobayashi H, Funayama H, Shinohara H, Oba Y, Shimizu H, Kario K. Successful management of guide extension catheter entrapment by stent in severe calcified lesion. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 87\u201388.","DOI":"10.1007\/s12928-023-00959-2"},{"key":"32","doi-asserted-by":"crossref","unstructured":"32. Matsumoto T, Kitahara H, Yamazaki T, Hiraga T, Yamashita D, Sato T, et al. Very short-term tissue coverage of the CD34 antibody-covered sirolimus-eluting stent: An optical coherence tomography study. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 381\u2013387.","DOI":"10.1007\/s12928-023-00938-7"},{"key":"33","doi-asserted-by":"crossref","unstructured":"33. Matsumura H, Shimoji K. Utilization of proximal cap disruption using intravascular lithotripsy for severely calcified bifurcated-CTO entry. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 186\u2013188.","DOI":"10.1007\/s12928-024-01046-w"},{"key":"34","doi-asserted-by":"crossref","unstructured":"34. Matsumura H, Shimoji K, Yoshijima N. A novel finding for predicting heightened risk for vessel injury caused by debulking devices. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 191\u2013192.","DOI":"10.1007\/s12928-024-01024-2"},{"key":"35","doi-asserted-by":"crossref","unstructured":"35. Minami Y, Ako J, Tsujita K, Yokoi H, Ikari Y, Morino Y, et al. Drug intervention as an emerging concept for secondary prevention in patients with coronary disease. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 223\u2013233.","DOI":"10.1007\/s12928-024-00994-7"},{"key":"36","doi-asserted-by":"crossref","unstructured":"36. Muramatsu T, Kozuma K, Tanabe K, Morino Y, Ako J, Nakamura S, et al. Clinical expert consensus document on drug-coated balloon for coronary artery disease from the Japanese Association of Cardiovascular Intervention and Therapeutics. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 166\u2013176.","DOI":"10.1007\/s12928-023-00921-2"},{"key":"37","doi-asserted-by":"crossref","unstructured":"37. Murasato Y, Kinoshita Y, Yamawaki M, Okamura T, Nagoshi R, Fujimura T, et al. Assessment of fractal ratio of vessel diameters in coronary bifurcation lesions by angiography and intravascular ultrasound. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 79\u201388.","DOI":"10.1007\/s12928-024-01057-7"},{"key":"38","doi-asserted-by":"crossref","unstructured":"38. Nishi T, Sasahira Y, Kume T, Koto S, Uemura S. Rapid progression of calcified nodules with increased lipid core burden in the right coronary artery. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 248\u2013250.","DOI":"10.1007\/s12928-023-00911-4"},{"key":"39","doi-asserted-by":"crossref","unstructured":"39. Numasawa Y, Kamata K, Tamura T, Yokokura S, Kojima H, Tanaka M. Effect of the jailed Corsair technique on the polymer of drug-eluting stents: Insights from electron microscopy analyses. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 314\u2013315.","DOI":"10.1007\/s12928-024-00992-9"},{"key":"40","doi-asserted-by":"crossref","unstructured":"40. Ogawa T, Inoue Y, Aizawa T, Morimoto S, Ogawa K, Nagoshi T, et al. Investigation of the small-balloon technique as a method for retrieving dislodged stents. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 309\u2013315.","DOI":"10.1007\/s12928-023-00917-y"},{"key":"41","doi-asserted-by":"crossref","unstructured":"41. Ogawa T, Sakakura K, Sumitsuji S, Hyodo M, Yamaguchi J, Hirase H, et al. Clinical expert consensus document on bailout algorithms for complications in percutaneous coronary intervention from the Japanese Association of Cardiovascular Intervention and Therapeutics. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 1\u201332.","DOI":"10.1007\/s12928-024-01044-y"},{"key":"42","doi-asserted-by":"crossref","unstructured":"42. Ozaki Y, Tobe A, Onuma Y, Kobayashi Y, Amano T, Muramatsu T, et al. CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute coronary syndromes (ACS) in 2024. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 335\u2013375.","DOI":"10.1007\/s12928-024-01036-y"},{"key":"43","doi-asserted-by":"crossref","unstructured":"43. Saito Y, Kobayashi Y. Contemporary coronary drug-eluting and coated stents: An updated mini-review (2023). <i>Cardiovasc Interv Ther<\/i> 2024; 39: 15\u201317.","DOI":"10.1007\/s12928-023-00954-7"},{"key":"44","doi-asserted-by":"crossref","unstructured":"44. Saito Y, Kobayashi Y. Complete revascularization in acute myocardial infarction: A clinical review. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 177\u2013186.","DOI":"10.1007\/s12928-022-00907-6"},{"key":"45","doi-asserted-by":"crossref","unstructured":"45. Saito Y, Kobayashi Y, Fujii K, Sonoda S, Tsujita K, Hibi K, et al. CVIT 2023 clinical expert consensus document on intravascular ultrasound. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 1\u201314.","DOI":"10.1007\/s12928-023-00957-4"},{"key":"46","doi-asserted-by":"crossref","unstructured":"46. Sakakura K, Ito Y, Shibata Y, Okamura A, Kashima Y, Nakamura S, et al. Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: Update 2023. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 141\u2013162.","DOI":"10.1007\/s12928-022-00906-7"},{"key":"47","doi-asserted-by":"crossref","unstructured":"47. Sakakura K, Jinnouchi H, Taniguchi Y, Tsukui T, Watanabe Y, Yamamoto K, et al. Halftime rotational atherectomy: A unique concept for diffuse long severely calcified lesions. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 18\u201327.","DOI":"10.1007\/s12928-023-00968-1"},{"key":"48","doi-asserted-by":"crossref","unstructured":"48. Sakakura K, Jinnouchi H, Taniguchi Y, Yamamoto K, Fujita H. Lifetime management of severely calcified coronary lesions: The treatment algorithm focused on the shape of calcification. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 375\u2013380.","DOI":"10.1007\/s12928-023-00950-x"},{"key":"49","doi-asserted-by":"crossref","unstructured":"49. Sakamoto Y, Sugimoto A, Iwaya T, Minami Y. Calcified nodules in the stented segment concomitant with stent deformation at the hinge point. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 184\u2013185.","DOI":"10.1007\/s12928-024-01041-1"},{"key":"50","doi-asserted-by":"crossref","unstructured":"50. Seguchi M, Sakakura K, Taniguchi Y, Fujita H. Current situation and overview of resorbable magnesium scaffolds: A perspective for overcoming the remaining issues of polymeric bioresorbable scaffold. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 245\u2013254.","DOI":"10.1007\/s12928-024-01070-w"},{"key":"51","doi-asserted-by":"crossref","unstructured":"51. Sugimoto K, Takahashi K, Okune M, Ueno M, Fujita T, Doi H, et al. Impact of quantitative flow ratio on graft function in patients undergoing coronary artery bypass grafting. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 406\u2013413.","DOI":"10.1007\/s12928-023-00929-8"},{"key":"52","doi-asserted-by":"crossref","unstructured":"52. Taniguchi Y, Sakakura K, Jinnouchi H, Tsukui T, Fujita H. Rotational atherectomy to left circumflex ostial lesions: Tips and tricks. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 367\u2013374.","DOI":"10.1007\/s12928-023-00941-y"},{"key":"53","doi-asserted-by":"crossref","unstructured":"53. Toba T, Hamana T, Kawamori H, Torii S, Nakazawa G, Otake H. Retrieval of entrapped Rotablator burr in coronary stent using guide extension catheter and RotaWire spring-tip. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 431\u2013433.","DOI":"10.1007\/s12928-023-00939-6"},{"key":"54","doi-asserted-by":"crossref","unstructured":"54. Warisawa T, Cook CM, Ahmad Y, Howard JP, Seligman H, Rajkumar C, et al. Physiological assessment with iFR prior to FFR measurement in left main disease. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 241\u2013251.","DOI":"10.1007\/s12928-024-00989-4"},{"key":"55","doi-asserted-by":"crossref","unstructured":"55. Warisawa T, Sonoda S, Yamaji K, Amano T, Kohsaka S, Natsuaki M, et al. State-of-the-art percutaneous coronary intervention for left main coronary artery disease in Japan. <i>Cardiovasc Interv Ther<\/i> 2024; 39: 386\u2013402.","DOI":"10.1007\/s12928-024-01030-4"},{"key":"56","doi-asserted-by":"crossref","unstructured":"56. Yashima F, Sato M, Matsumura H, Yoshijima N, Hashizume K, Shimoji K. Percutaneous coronary intervention with orbital atherectomy after transcatheter aortic valve replacement. <i>Cardiovasc Interv Ther<\/i> 2025; 40: 189\u2013190.","DOI":"10.1007\/s12928-024-01051-z"},{"key":"57","doi-asserted-by":"crossref","unstructured":"57. Koeda Y, Sasaki T, Numahata W, Ishida M, Morino Y. A case of robotic-assisted percutaneous coronary intervention using a coronary intravascular lithotripsy catheter. <i>Cardiovasc Interv Ther<\/i> 2023; 38: 429\u2013430.","DOI":"10.1007\/s12928-023-00934-x"},{"key":"58","doi-asserted-by":"crossref","unstructured":"58. Kitajima S, Gohbara M, Hattori K, Hanajima Y, Tsutsumi K, Kirigaya H, et al. Evaluation of the intravascular ultrasound calcium scoring system in guiding intravascular lithotripsy during percutaneous coronary intervention. <i>Circ J<\/i> 2026; 90: 274\u2013281.","DOI":"10.1253\/circj.CJ-25-0487"},{"key":"59","doi-asserted-by":"crossref","unstructured":"59. Matsukawa N, Yamamoto MH, Mizukami T, Kondo S, Kobayashi N, Takano M, et al. Clinical impact of optical coherence tomography-guided primary percutaneous coronary intervention in ST-elevation myocardial infarction: A substudy of the TACTICS Registry. <i>Circ J<\/i> 2026; 90: 284\u2013292.","DOI":"10.1253\/circj.CJ-25-0154"},{"key":"60","doi-asserted-by":"crossref","unstructured":"60. Miyashita K, Muramatsu T, Revaiah PC, Nakazawa G, Ishibashi Y, Kozuma K, et al. Aspirin-free prasugrel monotherapy after percutaneous coronary intervention in patients with non-ST elevation acute coronary syndrome. <i>Circ J<\/i> 2026; 90: 354\u2013363.","DOI":"10.1253\/circj.CJ-25-0356"},{"key":"61","doi-asserted-by":"crossref","unstructured":"61. Nishino M, Egami Y, Okamoto N, Sugino A, Kobayashi N, Abe M, et al. Predictors of stent underexpansion for severely calcified lesions after debulking. <i>Circ J<\/i> 2025; 89: 1121\u20131128.","DOI":"10.1253\/circj.CJ-24-0778"},{"key":"62","doi-asserted-by":"crossref","unstructured":"62. Sasaki W, Ishida M, Taguchi Y, Tosaka K, Koeda Y, Kimura T, et al. Discrepancy between optical coherence tomography-based and intravascular ultrasound-based calcium scoring for heavily calcified coronary lesions. <i>Circ J<\/i> 2025; 89: 992\u2013996.","DOI":"10.1253\/circj.CJ-25-0068"},{"key":"63","doi-asserted-by":"crossref","unstructured":"63. Prakash R, Starovoytov A, Heydari M, Mancini GB, Saw J. Catheter-induced iatrogenic coronary artery dissection in patients with spontaneous coronary artery dissection. <i>JACC Cardiovasc Interv<\/i> 2016; 9: 1851\u20131853.","DOI":"10.1016\/j.jcin.2016.06.026"},{"key":"64","doi-asserted-by":"crossref","unstructured":"64. Alfonso F, Fernandez-Perez C, Del Prado N, Garcia-Guimaraes M, Bernal JL, Bastante T, et al. Primary percutaneous coronary intervention in patients with spontaneous coronary artery dissection vs coronary artery disease. <i>JACC Cardiovasc Interv<\/i> 2023; 16: 1860\u20131869.","DOI":"10.1016\/j.jcin.2023.05.044"},{"key":"65","doi-asserted-by":"crossref","unstructured":"65. Alfonso F, Paulo M, Gonzalo N, Dutary J, Jimenez-Quevedo P, Lennie V, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. <i>J Am Coll Cardiol<\/i> 2012; 59: 1073\u20131079.","DOI":"10.1016\/j.jacc.2011.08.082"},{"key":"66","doi-asserted-by":"crossref","unstructured":"66. Saw J, Mancini GB, Humphries K, Fung A, Boone R, Starovoytov A, et al. Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging. <i>Catheter Cardiovasc Interv<\/i> 2016; 87: E54\u2013E61.","DOI":"10.1002\/ccd.26022"},{"key":"67","doi-asserted-by":"crossref","unstructured":"67. Poon K, Bell B, Raffel OC, Walters DL, Jang IK. Spontaneous coronary artery dissection: Utility of intravascular ultrasound and optical coherence tomography during percutaneous coronary intervention. <i>Circ Cardiovasc Interv<\/i> 2011; 4: e5\u2013e7.","DOI":"10.1161\/CIRCINTERVENTIONS.110.959593"},{"key":"68","doi-asserted-by":"crossref","unstructured":"68. Motreff P, Malcles G, Combaret N, Barber-Chamoux N, Bouajila S, Pereira B, et al. How and when to suspect spontaneous coronary artery dissection: Novel insights from a single-centre series on prevalence and angiographic appearance. <i>EuroIntervention<\/i> 2017; 12: e2236\u2013e2243.","DOI":"10.4244\/EIJ-D-16-00187"},{"key":"69","doi-asserted-by":"crossref","unstructured":"69. Paulo M, Sandoval J, Lennie V, Dutary J, Medina M, Gonzalo N, et al. Combined use of OCT and IVUS in spontaneous coronary artery dissection. <i>JACC Cardiovasc Imaging<\/i> 2013; 6: 830\u2013832.","DOI":"10.1016\/j.jcmg.2013.02.010"},{"key":"70","doi-asserted-by":"crossref","unstructured":"70. Maehara A, Mintz GS, Castagna MT, Pichard AD, Satler LF, Waksman R, et al. Intravascular ultrasound assessment of spontaneous coronary artery dissection. <i>Am J Cardiol<\/i> 2002; 89: 466\u2013468.","DOI":"10.1016\/S0002-9149(01)02272-X"},{"key":"71","doi-asserted-by":"crossref","unstructured":"71. Alfonso F, Bastante T, Garcia-Guimaraes M, Pozo E, Cuesta J, Rivero F, et al. Spontaneous coronary artery dissection: New insights into diagnosis and treatment. <i>Coron Artery Dis<\/i> 2016; 27: 696\u2013706.","DOI":"10.1097\/MCA.0000000000000412"},{"key":"72","doi-asserted-by":"crossref","unstructured":"72. Dashwood AM, Saw J, Dhillon P, Murdoch D. Use of a three-stent technique for a case of spontaneous coronary artery dissection. <i>Can J Cardiol<\/i> 2017; 33: 830.e13\u2013830.e15.","DOI":"10.1016\/j.cjca.2017.02.007"},{"key":"73","doi-asserted-by":"crossref","unstructured":"73. Main A, Saw J. Percutaneous coronary intervention for the treatment of spontaneous coronary artery dissection. <i>Interv Cardiol Clin<\/i> 2019; 8: 199\u2013208.","DOI":"10.1016\/j.iccl.2018.11.008"},{"key":"74","doi-asserted-by":"crossref","unstructured":"74. Alkhouli M, Cole M, Ling FS. Coronary artery fenestration prior to stenting in spontaneous coronary artery dissection. <i>Catheter Cardiovasc Interv<\/i> 2016; 88: E23\u2013E27.","DOI":"10.1002\/ccd.26161"},{"key":"75","doi-asserted-by":"crossref","unstructured":"75. Kok SN, Hayes SN, Cutrer FM, Raphael CE, Gulati R, Best PJM, et al. Prevalence and clinical factors of migraine in patients with spontaneous coronary artery dissection. <i>J Am Heart Assoc<\/i> 2018; 7: e010140.","DOI":"10.1161\/JAHA.118.010140"},{"key":"76","doi-asserted-by":"crossref","unstructured":"76. Clare R, Duan L, Phan D, Moore N, Jorgensen M, Ichiuji A, et al. Characteristics and clinical outcomes of patients with spontaneous coronary artery dissection. <i>J Am Heart Assoc<\/i> 2019; 8: e012570.","DOI":"10.1161\/JAHA.119.012570"},{"key":"77","doi-asserted-by":"crossref","unstructured":"77. Saw J, Humphries K, Aymong E, Sedlak T, Prakash R, Starovoytov A, et al. Spontaneous coronary artery dissection: Clinical outcomes and risk of recurrence. <i>J Am Coll Cardiol<\/i> 2017; 70: 1148\u20131158.","DOI":"10.1016\/j.jacc.2017.06.053"},{"key":"78","doi-asserted-by":"crossref","unstructured":"78. Tweet MS, Olin JW. Insights into spontaneous coronary artery dissection: Can recurrence be prevented? <i>J Am Coll Cardiol<\/i> 2017; 70: 1159\u20131161.","DOI":"10.1016\/j.jacc.2017.07.726"},{"key":"79","doi-asserted-by":"crossref","unstructured":"79. Eleid MF, Guddeti RR, Tweet MS, Lerman A, Singh M, Best PJ, et al. Coronary artery tortuosity in spontaneous coronary artery dissection: Angiographic characteristics and clinical implications. <i>Circ Cardiovasc Interv<\/i> 2014; 7: 656\u2013662.","DOI":"10.1161\/CIRCINTERVENTIONS.114.001676"},{"key":"80","doi-asserted-by":"crossref","unstructured":"80. Chi G, Najafi H, Montazerin SM, Lee JJ. Factors associated with recurrent spontaneous coronary artery dissection: A systematic review and meta-analysis. <i>Coron Artery Dis<\/i> 2022; 33: 566\u2013573.","DOI":"10.1097\/MCA.0000000000001168"},{"key":"81","doi-asserted-by":"crossref","unstructured":"81. Virani SS, Newby LK, Arnold SV, Bittner V, Brewer LC, Demeter SH, et al. 2023 AHA\/ACC\/ACCP\/ASPC\/NLA\/PCNA Guideline for the management of patients with chronic coronary disease: A Report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines. <i>Circulation<\/i> 2023; 148: e9\u2013e119.","DOI":"10.1161\/CIR.0000000000001183"},{"key":"82","doi-asserted-by":"crossref","unstructured":"82. Cerrato E, Giacobbe F, Quadri G, Macaya F, Bianco M, Mori R, et al. Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry. <i>Eur Heart J<\/i> 2021; 42: 3161\u20133171.","DOI":"10.1093\/eurheartj\/ehab372"},{"key":"83","doi-asserted-by":"crossref","unstructured":"83. Saw J, Mancini GBJ, Humphries KH. Contemporary review on spontaneous coronary artery dissection. <i>J Am Coll Cardiol<\/i> 2016; 68: 297\u2013312.","DOI":"10.1016\/j.jacc.2016.05.034"},{"key":"84","doi-asserted-by":"crossref","unstructured":"84. Adlam D, Alfonso F, Maas A, Vrints C, Writing C. European Society of Cardiology, acute cardiovascular care association, SCAD study group: A position paper on spontaneous coronary artery dissection. <i>Eur Heart J<\/i> 2018; 39: 3353\u20133368.","DOI":"10.1093\/eurheartj\/ehy080"},{"key":"85","doi-asserted-by":"crossref","unstructured":"85. Chou AY, Prakash R, Rajala J, Birnie T, Isserow S, Taylor CM, et al. The first dedicated cardiac rehabilitation program for patients with spontaneous coronary artery dissection: Description and initial results. <i>Can J Cardiol<\/i> 2016; 32: 554\u2013560.","DOI":"10.1016\/j.cjca.2016.01.009"},{"key":"86","doi-asserted-by":"crossref","unstructured":"86. Krittanawong C, Tweet MS, Hayes SE, Bowman MJ, Gulati R, Squires RW, et al. Usefulness of cardiac rehabilitation after spontaneous coronary artery dissection. <i>Am J Cardiol<\/i> 2016; 117: 1604\u20131609.","DOI":"10.1016\/j.amjcard.2016.02.034"},{"key":"87","doi-asserted-by":"crossref","unstructured":"87. Liang JJ, Tweet MS, Hayes SE, Gulati R, Hayes SN. Prevalence and predictors of depression and anxiety among survivors of myocardial infarction due to spontaneous coronary artery dissection. <i>J Cardiopulm Rehabil Prev<\/i> 2014; 34: 138\u2013142.","DOI":"10.1097\/HCR.0000000000000030"},{"key":"88","doi-asserted-by":"crossref","unstructured":"88. Johnson AK, Hayes SN, Sawchuk C, Johnson MP, Best PJ, Gulati R, et al. Analysis of posttraumatic stress disorder, depression, anxiety, and resiliency within the unique population of spontaneous coronary artery dissection survivors. <i>J Am Heart Assoc<\/i> 2020; 9: e014372.","DOI":"10.1161\/JAHA.119.014372"}],"container-title":["Circulation Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circj\/90\/8\/90_CJ-25-0966\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T03:27:56Z","timestamp":1784950076000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circj\/90\/8\/90_CJ-25-0966\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":88,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1253\/circj.cj-25-0966","relation":{},"ISSN":["1346-9843","1347-4820"],"issn-type":[{"value":"1346-9843","type":"print"},{"value":"1347-4820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,24]]},"article-number":"CJ-25-0966"}}