Abstract
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of coronary artery disease. Whilst a recognized disease entity since 1930s, its pathogenesis remains unclear and various hypotheses have been postulated from clinical and clinic-pathological association. Whilst angiography alone has traditionally been perceived to significantly under diagnose this condition, recent development in intravascular imaging, particularly optical coherence tomography (OCT), have seen significant advances in the understanding of SCAD. From a histopathological perspective, OCT has shown that there may be distinct pathological subsets in SCAD in reference to a dissection flap and an intramural hematoma. Early data also suggests that OCT may be important in optimizing PCI results in SCAD. The future is particularly promising if a collaborative approach is undertaken to utilize OCT as an in vivo microscope to shed more light in this poorly understood disease entity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pretty HC. Dissecting aneurysm of coronary artery in woman aged 42: rupture. Br Med J. 1931;1:667.
Robinowitz M, Virmani R, McAllister HA. Spontaneous coronary artery dissection and eosinophilic inflammation: a cause and effect relationship? Am J Med. 1982;72:923–8.
Briguori C, Bellevicine C, Visconti G, Focaccio A, Aprile V, Troncone G. In vivo histological assessment of a spontaneous coronary artery dissection. Circulation. 2010;10:1044–6.
Saw J, Ricci D, Starovoytov A, Fox R, Buller CE. Spontaneous coronary artery dissection: prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort. J Am Coll Cardiol Intv. 2013;6:44–52.
Alfonso F, Paulo M, Lennie V, Dutary J, Bernado E, Jiménez-Quevedo P, et al. Spontaneous coronary artery dissection: long-term follow-up of a large series of patients prospectively managed with a “conservative” therapeutic strategy. J Am Coll Cardiol. 2012;5:1062–70.
Pate GE, Lowe R, Buller CE. Fibromuscular dysplasia of the coronary and renal arteries? Catheter Cardiovasc Interv. 2005;64:138–45.
Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126:579–88.
Romero-Rodríguez N, Fernández-Quero M, Villa Gil-Ortega M, Urbano del Moral JA, Ballesteros Prada S. Spontaneous coronary dissection and its long-term prognostic implications in a cohort of 19 cases. Rev Esp Cardiol. 2010;9:1088–91.
Venzetto G, Berger-Coz E, Barone-Rochette G, Chavanon O, Bouvaist H, Hacini R, et al. Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients. Eur J Cardiothorac Surg. 2009;2:250–4.
Mortensen KH, Thusen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: a western Denmark Heart Registry Study. Catheter Cardiovasc Interv. 2009;74:710–7.
Giacoppo D, Capodanno D, Dangas G, Tamburino C. Spontaneous coronary artery dissection. Int J Cardiol. 2014;175(1):8–20. http://dx.doi.org/10.1016/j.ijcard.2014.04.178.
Nishiguchi T, Tanaka A, Ozaki Y, Taruya A, Fukuda S, Taguchi H, Iwaguro T, Ueno S, Okumoto Y, Akasaka T. Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. 2013 [Epub ahead of print]. doi:10.1177/2048872613504310.
Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2013. doi:10.1002/ccd.25293.
Alfonso F, Paulo M, Gonzalo N, Jimenez-Quevedo P, Lennie V, Escaned J, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. J Am Coll Cardiol. 2012;12:1073–9.
Maehara A, Mintz GS, Castagna MT, Pichard AD, Satler LF, Waksman R, et al. Intravascular ultrasound assessment of spontaneous coronary artery dissection. Am J Cardiol. 2002;89:466–8.
Poon K, Bell B, Raffel OC, Walters DL, Jang IK. Spontaneous coronary artery dissection: utility of intravascular ultrasound and optical coherence tomography during percutaneous coronary intervention. Catheter Cardiovasc Interv. 2011;2:e5–7.
Paulo M, Sandoval J, Lennie V, Dutary J, Medina M, Gonzalo N, et al. Combined use of OCT and IVUS in spontaneous coronary artery dissection. JACC Cardiovasc Imaging. 2013;7:830–2.
Alfonso F, Canales E, Aleong G. Spontaneous coronary artery dissection: diagnosis by optical coherence tomography. Eur Heart J. 2009;30:385.
Ishibashi K, Kitabata H, Akasaka T. Intracoronary optical coherence tomography assessment of spontaneous coronary artery dissection. Heart. 2009;95:818.
Alfonso F, Paulo M, Dutary J. Endovascular imaging of angiographically invisible spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2012;4:452–3.
Hoshi T, Sato A, Hiraya D, Kimura T, Wang Z, Aonuma K. Multimodality intracoronary imaging in spontaneous coronary artery dissection: impacts of intravascular ultrasound, optical coherence tomography, and coronary angioscopy. Catheter Cardiovasc Interv. 2013;3:E151–4.
Nakagawa M, Shite J, Shinke T, Otake H, Okada K, Okita Y, Hirata K. Ability of optical coherence tomography to visualize the entry port of spontaneous coronary artery dissection. Circ J. 2011;10:2505–7.
Saw J, Poulter R, Fung A. Intracoronary imaging of coronary fibromuscular dysplasia with OCT and IVUS. Catheter Cardiovasc Interv. 2013;82:E879–83.
Poon K, Incani A, Small A, Raffel OC. Drug eluting stents trapping intramural hematoma in spontaneous coronary artery dissection and healing pattern at six months: optical coherence tomography findings. Cardiovasc Revasc Med. 2013;3:183–6.
Combaret N, Souteyrand G, Amonchot A, Coupez E, Motreff P. Contribution of guidance by optical coherence tomography (OCT) in rescue management of spontaneous coronary artery dissection. Eur Heart J Cardiovasc Imaging. 2013;7:714.
Ruiz-García J, Jiménez-Valero S, Salinas P, Sánchez-Recalde A, Galeote G, Moreno R. Optical coherence tomography in spontaneous coronary dissection and in the complications following percutaneous treatment. Rev Esp Cardiol. 2013;1:72–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Poon, K. (2015). Spontaneous Coronary Artery Dissection. In: Jang, IK. (eds) Cardiovascular OCT Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-10801-8_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-10801-8_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-10800-1
Online ISBN: 978-3-319-10801-8
eBook Packages: MedicineMedicine (R0)