Coronary angiogram classification of spontaneous coronary artery dissection

Spontaneous coronary artery dissection (SCAD) is under‐diagnosed and the true prevalence is underestimated. Unfortunately, SCAD is frequently missed on coronary angiogram since the arterial wall is not imaged with this test. Optical coherence tomography or intravascular ultrasound should be the true...

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Published inCatheterization and cardiovascular interventions Vol. 84; no. 7; pp. 1115 - 1122
Main Author Saw, Jacqueline
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.12.2014
Wiley Subscription Services, Inc
Subjects
angiography
catheterization
coronary
Coronary Angiography
Coronary Vessel Anomalies - classification
Coronary Vessel Anomalies - diagnostic imaging
diagnostic
Humans
imaging
intravascular ultrasound
IVUS-imaging
optical coherence tomography
Vascular Diseases - classification
Vascular Diseases - congenital
Vascular Diseases - diagnostic imaging
intravascular ultrasound
coronary
optical coherence tomography
catheterization
diagnostic
imaging
angiography
IVUS-imaging
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Summary:Spontaneous coronary artery dissection (SCAD) is under‐diagnosed and the true prevalence is underestimated. Unfortunately, SCAD is frequently missed on coronary angiogram since the arterial wall is not imaged with this test. Optical coherence tomography or intravascular ultrasound should be the true gold‐standard to diagnose SCAD. Given the elusive angiographic diagnosis of SCAD and the lack of familiarity with angiographic variants of SCAD, a diagnostic algorithm and angiographic classification for SCAD is proposed in this article. © 2013 Wiley Periodicals, Inc.
Bibliography:ark:/67375/WNG-NNCN1WLQ-0
istex:7B18E3B4A126D56C93F7E1DB78DB2A08CAC8CE27
ArticleID:CCD25293
Conflict of interest: Nothing to report.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ObjectType-Review-3
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ISSN:1522-1946
1522-726X
1522-726X
DOI:10.1002/ccd.25293