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Catheter Cardiovasc Interv. 2014 Dec 1;84(7):1115-22. doi: 10.1002/ccd.25293. Epub 2013 Dec 4.

Coronary angiogram classification of spontaneous coronary artery dissection.

Author information

1
Division of Cardiology, Vancouver General Hospital, University of British Columbia.

Abstract

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.

KEYWORDS:

IVUS-imaging; angiography; catheterization; coronary; diagnostic; imaging; intravascular ultrasound; optical coherence tomography

PMID:
24227590
DOI:
10.1002/ccd.25293
[Indexed for MEDLINE]

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