Spontaneous coronary artery dissection classification: Difference between revisions

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==Classification==
==Classification==
==Type 1==
[[File:28-2-type-1-14RAO35CRA.gif|300px|]]
[[File:28-2 type 1 14RAO35CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.</span>
[[File:85-1 type 1 28RA023CAU.gif|300px|]]
[[File:85-1 type 1 28RA023CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.</span>
[[File:19-1 type 1 30RAO30CAU.gif|300px|]]
[[File:19-1 type 1 30RAO30CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.</span>
[[File:22-1-type-1-33LAO2CRA.gif|300px|]]
[[File:22-1 type 1 33LAO2CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.</span>
[[File:58-1 type 1 LCx 26RAO24CAU.gif|300px|]]
[[File:58-1 type 1 LCx 26RAO24CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.</span>
[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.</span>
==Type 2A==
[[File:1-1-type-2A-RAD-25LAO20CRA.gif|300px|]]
[[File:1-1 type 2A RAD 25LAO20CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.</span>
[[File:26-1 type 2A 23RAO14CRA.gif|300px|]]
[[File:26-1 type 2A 23RAO14CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.</span>
[[File:35-1 type 2A LAD 25RAO25CRA.gif|300px|]]
[[File:35-1 type 2A LAD 25RAO25CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.</span>
[[File:39- type2A L2 5LAO34CRA.gif|300px|]]
[[File:39- type2A L2 5LAO34CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.</span>
[[File:42-1 type 2A L2intoD2 13LAO42CRA.gif|300px|]]
[[File:42-1 type 2A L2intoD2 13LAO42CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.</span>
[[File:47-1 type 2A D1&L2 31LAO24CRA.gif|300px|]]
[[File:47-1 type 2A D1&L2 31LAO24CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.</span>
==Type 2B==
[[File:24-1-type-2B-LAD-41RAO19CRA-TFG0.gif|300px|]]
[[File:24-1 type 2B LAD 41RAO19CRA TFG0.jpg|300px|]]
<span style="font-size:85%">Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.</span>
[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.</span>
[[File:28-1 type 2B 11RAO22CRA.gif|300px|]]
[[File:28-1 type 2B 11RAO22CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.</span>
[[File:38-1 type 2B OM2 30RAO1CAU.gif|300px|]]
[[File:38-1 type 2B OM2 30RAO1CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.</span>
==Type 3==
[[File:11-1 type 2B&3 1 LAO35CRA.gif|300px|]]
[[File:11-1 type 2B&3 1 LAO35CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.</span>
[[File:2-1 type 3 LAD 0RAO38CRA.gif|300px|]]
[[File:2-1 type 3 LAD 0RAO38CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>
[[File:20-1-type-3-35RAO28CAU.gif|300px|]]
[[File:20-1 type 3 35RAO28CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>
[[File:25-1-type-3-L2-3RAO26CRA.gif|300px|]]
[[File:25-1 type 3 L2 3RAO26CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.</span>
[[File:73-1 type 3 S1 7RAO39CRA.gif|300px|]]
[[File:73-1 type 3 S1 7RAO39CRA.jpg|300px|]]
<span style="font-size:85%">Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.</span>
[[File:76-1 type 3 10RAO14CAU.gif|300px|]]
[[File:76-1 type 3 10RAO14CAU.jpg|300px|]]
<span style="font-size:85%">Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.</span>




Revision as of 16:47, 21 November 2017

Spontaneous Coronary Artery Dissection Microchapters

Home

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Spontaneous coronary artery dissection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Approach

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Angiography

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Treatment Approach

Medical Therapy

Percutaneous Coronary Intervention

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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.

Synonyms and keywords: SCAD

Overview

Classification

Type 1

Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.


Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.


Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.


Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.


Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.


Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.

Type 2A

Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.


Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.


Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.


Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.


Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.


Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.

Type 2B

Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.


Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.


Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.


Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.

Type 3

Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.


Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.


Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.


Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.


Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.


Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.



References

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