Coronary artery dissection classification: Difference between revisions

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#REDIRECT:[[Coronary artery dissection]]
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==Definition==
 
Dissection is an intraluminal filling defect or flap associated with a hazy, ground-glass appearance. This category is sub-classified using the NHLBI (National Heart Lung and Blood Institute) system for grading dissection types:
 
===Type A===
 
[[Dissection: Type A | Radiolucent areas]] within the coronary lumen during contrast injection, with minimal or no persistence of contrast after dye has cleared.
 
===Type B===
 
[[Dissection: Type B | Parallel tracts]] or double lumen separated by a radiolucent area during contrast injection, with minimal or no persistence after dye has cleared.
 
===Type C===
 
[[Dissection: Type C | Contrast outside the coronary lumen]], with persistence of contrast in the area after dye has cleared.
 
===Type D===
 
[[Dissection: Type D | Spiral luminal filling]] defects frequently with extensive contrast staining of the vessel.
 
===Type E===
 
[[Dissection: Type E | New persistent filling defects]] that may be caused by [[thrombus]].
 
===Type F===
 
These are [[Dissection: Type F | non A – E dissection types]] that lead to impaired flow or total occlusion of the coronary artery.
 
==References==
 
==External Links==
 
* [http://www.medscape.com/content/2004/00/49/09/490976/490976_fig.html Coronary Artery Dissection and Perforation article from Medscape]
 
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[[Category:Cardiology]]
[[Category:Angiographic Definitions]]
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Latest revision as of 12:14, 19 August 2013