Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal
Review
Spontaneous coronary dissection: Optical coherence tomography ?Live Flash? Angioplasty Guide
Author(s): Jones Alice*
Optical coherence tomography (OCT) is a light-based imaging modality
with great potential in coronary imaging. Spontaneous coronary artery
dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). The
diagnosis of SCAD is made primarily by invasive coronary angiography,
although additional imaging modalities such as CT angiography, IVUS,
and OCT may enhance the diagnostic outcome. The authors describe
the clinical case of a young woman hospitalized with a diagnosis of
SCA. SCA-induced SCAD was detected in coronary angiography and
OCT-guided angioplasty. The use of OCT in the context of SCAD has
been described and the real innovation in this case is this unique use of
OCT. Short and direct visual angioplasty guidance is very useful because
it allows the location of the guide wires to be clearly determined at
all times without the need for a.. View More»
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