Angiographic patterns in spontaneous coronary artery dissection: novel diagnostic insights.

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Expert Review of Cardiovascular Therapy Pub Date : 2024-04-01 Epub Date: 2024-05-02 DOI:10.1080/14779072.2024.2349103
Marcos García-Guimarães, Teresa Bastante, David Del Val, Diego Fernández-Rodríguez, Teresa Guiberteau-Diaz, Jorge Salamanca, Fernando Rivero, Fernando Alfonso
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Abstract

Introduction: Spontaneous coronary artery dissection (SCAD) is a rare but well-recognized cause of acute coronary syndrome, especially important in women. Invasive coronary angiography (ICA) is the fundamental diagnostic technique for the confirmation of SCAD. Knowing the angiographic patterns suggestive of SCAD is essential for the correct identification of patients with this entity.

Areas covered: In this narrative review, the main angiographic characteristics of SCAD lesions as detected by ICA are presented and discussed.

Expert opinion: In addition to the specific angiographic classification of SCAD, several authors have described complementary angiographic patterns suggestive of SCAD. Knowledge and correct identification of these angiographic patterns is essential for the correct diagnosis of patients with clinical suspicion of SCAD.

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自发性冠状动脉夹层的血管造影模式:新的诊断见解。
导言:自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征的一种罕见病因,但已得到广泛认可,尤其是对女性患者非常重要。有创冠状动脉造影术(ICA)是确诊 SCAD 的基本诊断技术。了解提示 SCAD 的血管造影模式对于正确识别该病患者至关重要:在这篇叙述性综述中,介绍并讨论了通过 ICA 检测到的 SCAD 病变的主要血管造影特征:专家观点:除了 SCAD 的具体血管造影分类外,多位作者还描述了提示 SCAD 的补充血管造影模式。了解并正确识别这些血管造影模式对于正确诊断临床怀疑为 SCAD 的患者至关重要。
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来源期刊
Expert Review of Cardiovascular Therapy
Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
0.00%
发文量
82
期刊介绍: Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.
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