Coronary angiogram classification of spontaneous coronary artery dissection

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


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.

Publication types

  • Review

MeSH terms

  • Coronary Angiography*
  • Coronary Vessel Anomalies / classification*
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Humans
  • Vascular Diseases / classification
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnostic imaging

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous