Template:Spontaneous coronary artery dissection cases: Difference between revisions

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__NOTOC____NOEDITSECTION__
__NOTOC____NOEDITSECTION__
==Spontaneous Coronary Artery Dissection Cases==
==Spontaneous Coronary Artery Dissection Cases==


{| class="wikitable" style="font-size: 85%;"
{| class="wikitable" style="font-size: 85%;"
! style="width: 100px; background: #4479BA; text-align: center;" |{{fontcolor|#FFF|Classification}}
! style="background: #4479BA; text-align: center; width: 100px;" |{{fontcolor|#FFF|Classification}}
! style="background: #4479BA; text-align: center;" colspan="2;"| {{fontcolor|#FFF|Features}}
! style="background: #4479BA; text-align: center; width: 600px;" colspan=2 | {{fontcolor|#FFF|Features}}
! style="background: #4479BA; text-align: center; width: 200px;" | {{fontcolor|#FFF|Examples}}
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Type 1'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Type 1'''
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*Contrast dye staining of arterial wall  
*Contrast dye staining of arterial wall  
*Presence or absence of dye hang-up or slow contrast clearing from the lumen
*Presence or absence of dye hang-up or slow contrast clearing from the lumen
| style="background: #F5F5F5; padding: 5px;" valign = top |
{{columns-list|2|
<li> [[Spontaneous coronary artery dissection type 1 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 3|Case 3]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 4|Case 4]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 5|Case 5]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 6|Case 6]] </li>
}}
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3;" | '''Type 2'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3;" | '''Type 2'''
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*Repeat coronary angiogram showing spontaneous resolution of the dissected segment or previous angiogram showing normal artery
*Repeat coronary angiogram showing spontaneous resolution of the dissected segment or previous angiogram showing normal artery
*Intracoronary imaging with OCT or IVUS proving the presence of intramural hematoma and double-lumen
*Intracoronary imaging with OCT or IVUS proving the presence of intramural hematoma and double-lumen
| style="background: #F5F5F5; padding: 5px;" rowspan=3 valign = top |
{{columns-list|2|'''Type 2A:'''
<li> [[Spontaneous coronary artery dissection type 2A case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 3|Case 3]] </li>
'''Type 2B:'''
<li> [[Spontaneous coronary artery dissection type 2B case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 3|Case 3]] </li>
}}
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''2A variant'''
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''2A variant'''
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*Linear stenosis
*Linear stenosis
*Note: requires OCT or IVUS to prove the presence of intramural hematoma or double-lumen
*Note: requires OCT or IVUS to prove the presence of intramural hematoma or double-lumen
| style="background: #F5F5F5; padding: 5px;" valign = top |
{{columns-list|2|
<li> [[Spontaneous coronary artery dissection type 3 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 3|Case 3]] </li>
}}
|}
|}

Revision as of 20:04, 27 November 2017


Spontaneous Coronary Artery Dissection Cases

Classification Features Examples
Type 1
  • Pathognomonic multiple radiolucent lumen
  • Contrast dye staining of arterial wall
  • Presence or absence of dye hang-up or slow contrast clearing from the lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
Type 2
  • Diffuse (typically >20–30 mm)
  • Smooth narrowing varying in severity (ranging from 40 to 100% stenosis)
  • No response to intracoronary nitroglycerin
  • No atherosclerotic lesions in other coronary arteries
  • Repeat coronary angiogram showing spontaneous resolution of the dissected segment or previous angiogram showing normal artery
  • Intracoronary imaging with OCT or IVUS proving the presence of intramural hematoma and double-lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
2A variant Normal arterial caliber proximal and distal to dissection
2B variant Dissection extends to the distal tip of the artery without discernible normal segment distally
Type 3
  • Mimics atherosclerosis with focal or tubular stenosis
  • Lack of atherosclerotic changes in other coronary arteries
  • Long lesions (11–20 mm)
  • Hazy stenosis
  • Linear stenosis
  • Note: requires OCT or IVUS to prove the presence of intramural hematoma or double-lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
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