Spontaneous coronary artery dissection angiography: Difference between revisions
Jump to navigation
Jump to search
Arzu Kalayci (talk | contribs) No edit summary |
Arzu Kalayci (talk | contribs) No edit summary |
||
| Line 11: | Line 11: | ||
==Angiography== | ==Angiography== | ||
In the past, this disorder was often diagnosed only at the time of [[autopsy]].<ref>{{cite journal|author=Narasimhan, S |title=Spontaneous coronary artery dissection (SCAD)|journal=IJTCVS |volume=20 |issue=4 |pages=189-91 |year=2004 |pmid= |doi= 10.1007/s12055-004-0084-x|url=http://medind.nic.in/ibq/t04/i4/ibqt04i4p189.pdf}}</ref> At present, however, [[angiography]] is most often used to diagnose SCAD.<ref name="pmid18830003">{{cite journal |author=Kamran M, Guptan A, Bogal M|title=Spontaneous coronary artery dissection: case series and review |journal=J Invasive Cardiol |volume=20 |issue=10 |pages=553–9 |year=2008 | In the past, this disorder was often diagnosed only at the time of [[autopsy]].<ref>{{cite journal|author=Narasimhan, S |title=Spontaneous coronary artery dissection (SCAD)|journal=IJTCVS |volume=20 |issue=4 |pages=189-91 |year=2004 |pmid= |doi= 10.1007/s12055-004-0084-x|url=http://medind.nic.in/ibq/t04/i4/ibqt04i4p189.pdf}}</ref> At present, however, [[angiography]] is most often used to diagnose SCAD.<ref name="pmid18830003">{{cite journal |author=Kamran M, Guptan A, Bogal M|title=Spontaneous coronary artery dissection: case series and review |journal=J Invasive Cardiol |volume=20 |issue=10 |pages=553–9 |year=2008 |pmid=18830003|doi= |url=http://jic.epubxpress.com/link/jic/2008/oct/90?s=0}}</ref> Angiographic findings include: | ||
* '''Type 1:''' appearance on an angiography involves the presence of two intraluminal streams/lumens separated by a radioluscent flap of intima. | * '''Type 1:''' appearance on an angiography involves the presence of two intraluminal streams/lumens separated by a radioluscent flap of intima. | ||
* '''Type 2:''' when the dissection plane is deeper in the vessel wall between the media and adventitial layers, formation of a [[hematoma]] can result in luminal narrowing which is seen as a stenosis on an angiography. | * '''Type 2:''' when the dissection plane is deeper in the vessel wall between the media and adventitial layers, formation of a [[hematoma]] can result in luminal narrowing which is seen as a stenosis on an angiography. | ||
Revision as of 15:04, 6 December 2017
|
Spontaneous Coronary Artery Dissection Microchapters |
|
Differentiating Spontaneous coronary artery dissection from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Type 1 Type 2A Type 2B Type 3 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A. Arzu Kalayci, M.D. [2]
Synonyms and keywords: SCAD
Overview
Angiography
In the past, this disorder was often diagnosed only at the time of autopsy.[1] At present, however, angiography is most often used to diagnose SCAD.[2] Angiographic findings include:
- Type 1: appearance on an angiography involves the presence of two intraluminal streams/lumens separated by a radioluscent flap of intima.
- Type 2: when the dissection plane is deeper in the vessel wall between the media and adventitial layers, formation of a hematoma can result in luminal narrowing which is seen as a stenosis on an angiography.
- Type 3: appearance mimics atherosclerosis. The dissection is typically shorter than that of type 2 (< 20 mm) and may have a hazy appearance.
References
- ↑ Narasimhan, S (2004). "Spontaneous coronary artery dissection (SCAD)" (PDF). IJTCVS. 20 (4): 189–91. doi:10.1007/s12055-004-0084-x.
- ↑ Kamran M, Guptan A, Bogal M (2008). "Spontaneous coronary artery dissection: case series and review". J Invasive Cardiol. 20 (10): 553–9. PMID 18830003.