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Multimodality intracoronary imaging in spontaneous coronary artery dissection: Impacts of intravascular ultrasound, optical coherence tomography, and coronary angioscopy
Author(s) -
Hoshi Tomoya,
Sato Akira,
Hiraya Daigo,
Kimura Taizo,
Wang Zheng,
Aonuma Kazutaka
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24563
Subject(s) - medicine , angioscopy , intravascular ultrasound , optical coherence tomography , scad , radiology , acute coronary syndrome , artery dissection , cardiology , coronary arteries , fibromuscular dysplasia , fibrous cap , dissection (medical) , artery , myocardial infarction , coronary angiography , renal artery , kidney
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and its etiology and pathogenesis have not been well understood. Intracoronary imaging modalities with intravascular ultrasound and optical coherence tomography would enable a precise diagnosis in this entity. Coronary angioscopy is also a unique tool for allowing direct visualization of the luminal surface of a vessel. We described an interesting case of SCAD documented with multimodality intracoronary imaging showing the presence of superficial lipid plaque nearby the coronary dissection entry point, which might have been associated with fragility of the arterial wall and the subsequent development of SCAD. © 2012 Wiley Periodicals, Inc.