Editorial Residual coronary dissections after drug-eluting stenting: the good, the bad, and the ugly

This editorial refers to ‘Incidence, predictors, and outcomes of coronary dissections left untreated after drug-eluting stent implantation’ † by G.G.L. Biondi-Zoccai et al., on page 540 The article of Biondi-Zoccai et al.1 provides a unique opportunity to review the management of coronary dissec-tions induced during percutaneous coronary interventions. For more than 25 years, interventional cardiologists have been facing this challenging situation using different approaches.2–5 Initially, prolonged balloon inflation was the only available therapy. If unsuccessful, patients with acute or threatened vessel closure had only urgent coronary artery bypass surgery as a therapeutic alternative to prevent or limit myocardial damage. The introduction of coronary stents, with their inherent scaffolding properties, dramati