Template:Spontaneous coronary artery dissection cases: Difference between revisions

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__NOTOC__
__NOTOC____NOEDITSECTION__==Spontaneous Coronary Artery Dissection Case Studies==
{{columns-list|3|
 
<h2>Type 1</h2>


{| class="wikitable" style="font-size: 85%;"
! style="background: #4479BA; text-align: center; width: 75px;" |{{fontcolor|#FFF|Type}}
! style="background: #4479BA; text-align: center; width: 775px;" colspan=2 | {{fontcolor|#FFF|Feature}}
! style="background: #4479BA; text-align: center; width: 125px;" | {{fontcolor|#FFF|Example}}
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Type 1'''
| style="background: #F5F5F5; padding: 5px;" colspan="2;"|
*Pathognomonic multiple radiolucent lumen
*Contrast dye staining of arterial wall
*Presence or absence of dye hang-up or slow contrast clearing from the lumen
| style="background: #F5F5F5; padding: 5px; font-weight: bold;" valign = top |
{{columns-list|2|
<li> [[Spontaneous coronary artery dissection type 1 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 3|Case 3]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 3|Case 3]] </li>
 
<li> [[Spontaneous coronary artery dissection type 1 case 4|Case 4]] </li>
<h2>Type 2A</h2>
<li> [[Spontaneous coronary artery dissection type 1 case 5|Case 5]] </li>
 
<li> [[Spontaneous coronary artery dissection type 1 case 6|Case 6]] </li>
<li> [[Spontaneous coronary artery dissection type 1 case 7|Case 7]] </li>
}}
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3;" | '''Type 2'''
| style="background: #F5F5F5; padding: 5px;" colspan="2;"|
*Diffuse (typically >20–30 mm)
*Smooth narrowing varying in severity (ranging from 40 to 100% stenosis)
*No response to intracoronary nitroglycerin
*No atherosclerotic lesions in other coronary arteries
*Repeat coronary angiogram showing spontaneous resolution of the dissected segment or previous angiogram showing normal artery
*Intracoronary imaging with OCT or IVUS proving the presence of intramural hematoma and double-lumen
| style="background: #F5F5F5; padding: 5px; font-weight: bold;" rowspan=3 valign = top |
{{columns-list|2|'''Type 2A:'''
<li> [[Spontaneous coronary artery dissection type 2A case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 3|Case 3]] </li>
<li> [[Spontaneous coronary artery dissection type 2A case 3|Case 3]] </li>
 
<li> [[Spontaneous coronary artery dissection type 2A case 4|Case 4]] </li>
<h2>Type 2B</h2>
<li> [[Spontaneous coronary artery dissection type 2A case 5|Case 5]] </li>
 
<li> [[Spontaneous coronary artery dissection type 2A case 6|Case 6]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 1|Case 1]] </li>
----
'''Type 2B:'''<li> [[Spontaneous coronary artery dissection type 2B case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 3|Case 3]] </li>
<li> [[Spontaneous coronary artery dissection type 2B case 3|Case 3]] </li>
 
<li> [[Spontaneous coronary artery dissection type 2B case 4|Case 4]] </li>
<h2>Type 3</h2>
}}
 
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''2A variant'''
| style="background: #F5F5F5; padding: 5px;" |Normal arterial caliber proximal and distal to dissection
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''2B variant'''
| style="background: #F5F5F5; padding: 5px;" |Dissection extends to the distal tip of the artery without discernible normal segment distally
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Type 3'''
| style="background: #F5F5F5; padding: 5px;" colspan="2;"|
*Mimics atherosclerosis with focal or tubular stenosis
*Lack of atherosclerotic changes in other coronary arteries
*Long lesions (11–20 mm)
*Hazy stenosis
*Linear stenosis
*Note: requires OCT or IVUS to prove the presence of intramural hematoma or double-lumen
| style="background: #F5F5F5; padding: 5px; font-weight: bold;" valign = top |
{{columns-list|2|
<li> [[Spontaneous coronary artery dissection type 3 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 1|Case 1]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 2|Case 2]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 3|Case 3]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 3|Case 3]] </li>
 
<li> [[Spontaneous coronary artery dissection type 3 case 4|Case 4]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 5|Case 5]] </li>
<li> [[Spontaneous coronary artery dissection type 3 case 6|Case 6]] </li>
}}
}}
|}

Latest revision as of 18:53, 28 November 2017

Spontaneous Coronary Artery Dissection Case Studies

Type Feature Example
Type 1
  • Pathognomonic multiple radiolucent lumen
  • Contrast dye staining of arterial wall
  • Presence or absence of dye hang-up or slow contrast clearing from the lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
Type 2
  • Diffuse (typically >20–30 mm)
  • Smooth narrowing varying in severity (ranging from 40 to 100% stenosis)
  • No response to intracoronary nitroglycerin
  • No atherosclerotic lesions in other coronary arteries
  • Repeat coronary angiogram showing spontaneous resolution of the dissected segment or previous angiogram showing normal artery
  • Intracoronary imaging with OCT or IVUS proving the presence of intramural hematoma and double-lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
2A variant Normal arterial caliber proximal and distal to dissection
2B variant Dissection extends to the distal tip of the artery without discernible normal segment distally
Type 3
  • Mimics atherosclerosis with focal or tubular stenosis
  • Lack of atherosclerotic changes in other coronary arteries
  • Long lesions (11–20 mm)
  • Hazy stenosis
  • Linear stenosis
  • Note: requires OCT or IVUS to prove the presence of intramural hematoma or double-lumen
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
2
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