血管内成像的启示：识别自发性冠状动脉夹层的见解。
A lesson from intravascular imaging: insights for recognizing a spontaneous coronary artery dissection.
作者信息
Buccheri Dario, Milazzo Diego, Geraci Salvatore, Vaccaro Giovanni, Caramanno Giuseppe
机构信息
Interventional Cardiology, San Giovanni di Dio Hospital, Agrigento, Italy.
出版信息
J Thorac Dis. 2017 Dec;9(12):5363-5367. doi: 10.21037/jtd.2017.10.146.
Abstract
Spontaneous coronary artery dissection (SCAD) is still today an underdiagnosed disease due to the absence of angiographic hallmarks in more than 70% of cases. In several cases, an intravascular imaging is a sole tool for recognizing a dissection. Particularly, optical coherence tomography analysis (OCT) could represent the gold standard technique of easy interpretation and prompt diagnosis. Here we present a rare case of multivessel spontaneous coronary artery disease (SCAD) with atypical collateral circulation.
摘要
自发性冠状动脉夹层（SCAD）如今仍是一种诊断不足的疾病，因为超过70%的病例缺乏血管造影特征。在一些病例中，血管内成像技术是识别夹层的唯一手段。特别是，光学相干断层扫描分析（OCT）可能是易于解读和快速诊断的金标准技术。在此，我们报告一例罕见的多支血管自发性冠状动脉疾病（SCAD）伴非典型侧支循环的病例。
相似文献
1
A lesson from intravascular imaging: insights for recognizing a spontaneous coronary artery dissection.血管内成像的启示：识别自发性冠状动脉夹层的见解。
J Thorac Dis. 2017 Dec;9(12):5363-5367. doi: 10.21037/jtd.2017.10.146.
2
Spontaneous Left Main Coronary Artery Dissection in a Male.一名男性自发性左冠状动脉主干夹层
Cureus. 2024 May 19;16(5):e60587. doi: 10.7759/cureus.60587. eCollection 2024 May.
3
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients.妊娠相关自发性冠状动脉夹层：来自13例病例系列的见解
Eur Heart J Cardiovasc Imaging. 2017 Jan;18(1):54-61. doi: 10.1093/ehjci/jew021. Epub 2016 Feb 28.
4
Invasive imaging modalities in a spontaneous coronary artery dissection: when "believing is seeing".自发性冠状动脉夹层的侵入性成像方式：何时“眼见为实”。
Front Cardiovasc Med. 2023 Oct 18;10:1270259. doi: 10.3389/fcvm.2023.1270259. eCollection 2023.
5
Optical Coherence Tomography in the Diagnosis and Management of Spontaneous Coronary Artery Dissection.光学相干断层扫描在自发性冠状动脉夹层诊断与管理中的应用
Interv Cardiol Clin. 2015 Jul;4(3):309-320. doi: 10.1016/j.iccl.2015.02.007. Epub 2015 May 29.
6
How and when to suspect spontaneous coronary artery dissection: novel insights from a single-centre series on prevalence and angiographic appearance.自发性冠状动脉夹层的可疑表现和时间：单中心系列研究对其患病率和血管造影表现的新见解。
EuroIntervention. 2017 Apr 7;12(18):e2236-e2243. doi: 10.4244/EIJ-D-16-00187.
7
Spontaneous coronary artery dissection.自发性冠状动脉夹层
Int J Cardiol. 2014 Jul 15;175(1):8-20. doi: 10.1016/j.ijcard.2014.04.178. Epub 2014 Apr 26.
8
Coronary angiogram classification of spontaneous coronary artery dissection.自发性冠状动脉夹层的冠状动脉造影分类
Catheter Cardiovasc Interv. 2014 Dec 1;84(7):1115-22. doi: 10.1002/ccd.25293. Epub 2013 Dec 4.
9
Spontaneous coronary artery dissection (SCAD): The underdiagnosed cardiac condition that plagues women.自发性冠状动脉夹层（SCAD）：困扰女性的被低估的心脏疾病。
Trends Cardiovasc Med. 2018 Jul;28(5):340-345. doi: 10.1016/j.tcm.2017.12.004. Epub 2017 Dec 11.
10
The link between spontaneous coronary artery dissection and takotsubo cardiomyopathy: analysis of the published cases.自发性冠状动脉夹层与应激性心肌病之间的联系：已发表病例分析
J Thorac Dis. 2017 Dec;9(12):5489-5492. doi: 10.21037/jtd.2017.11.07.
引用本文的文献
1
Case report of spontaneous coronary artery dissection in a 50‑year‑old man.50 岁男性自发性冠状动脉夹层病例报告。
BMC Cardiovasc Disord. 2024 Aug 27;24(1):451. doi: 10.1186/s12872-024-04124-2.
2
Recurrent Spontaneous Coronary Artery Dissection: Association with Takotsubo Syndrome and Fibromuscular Dysplasia; Comprehensive Review.复发性自发性冠状动脉夹层：与应激性心肌病和纤维肌发育不良的关联；综述
Rev Cardiovasc Med. 2022 Oct 27;23(11):367. doi: 10.31083/j.rcm2311367. eCollection 2022 Nov.
3
Scientific statement on spontaneous coronary artery dissection: care must be taken not to miss the association of spontaneous coronary artery dissection and takotsubo syndrome.关于自发性冠状动脉夹层的科学声明：必须注意不要漏诊自发性冠状动脉夹层与应激性心肌病的关联。
J Thorac Dis. 2018 Sep;10(Suppl 26):S3169-S3175. doi: 10.21037/jtd.2018.07.136.
本文引用的文献
1
Pulse on Spontaneous Coronary Artery Dissections: Experience-Based Survey.自发性冠状动脉夹层的脉搏：基于经验的调查
JACC Cardiovasc Interv. 2017 Jul 24;10(14):1469-1471. doi: 10.1016/j.jcin.2017.05.039.
2
Focusing on spontaneous coronary artery dissection: actuality and future perspectives.聚焦自发性冠状动脉夹层：现状与未来展望。
J Thorac Dis. 2016 Dec;8(12):E1784-E1786. doi: 10.21037/jtd.2016.12.79.
3
Score System Approach to Diagnose and Manage Spontaneous Coronary Artery Dissection.诊断和管理自发性冠状动脉夹层的评分系统方法
Rev Esp Cardiol (Engl Ed). 2016 Sep;69(9):878-9. doi: 10.1016/j.rec.2016.05.007. Epub 2016 Jul 18.
4
Biovascular resorbable scaffold for spontaneous coronary artery dissection: RAIders on the storm of a debatable therapy.用于自发性冠状动脉夹层的生物可吸收支架：在有争议治疗风暴中的探索者
Int J Cardiol. 2016 Jul 1;214:387-8. doi: 10.1016/j.ijcard.2016.04.021. Epub 2016 Apr 8.
5
Spontaneous coronary artery dissections: A call for action for an underestimated entity.自发性冠状动脉夹层：呼吁对这一被低估的疾病采取行动。
Int J Cardiol. 2016 Jul 1;214:333-5. doi: 10.1016/j.ijcard.2016.03.131. Epub 2016 Apr 13.
6
Postpartum Multivessel Spontaneous Coronary Artery Dissection.产后多支血管自发性冠状动脉夹层
Rev Esp Cardiol (Engl Ed). 2016 Aug;69(8):781-2. doi: 10.1016/j.rec.2015.12.027. Epub 2016 Apr 8.
7
Intravascular imaging as a tool for definite diagnosis of acute coronary syndrome caused by spontaneous coronary artery dissection.血管内成像作为明确诊断自发性冠状动脉夹层所致急性冠状动脉综合征的工具。
Int J Cardiol. 2016 Jul 1;214:43-5. doi: 10.1016/j.ijcard.2016.03.114. Epub 2016 Mar 26.
8
Is vasospasm overestimated in acute coronary syndromes presenting with non-obstructive coronary artery disease? The case for intravascular imaging.
Int J Cardiol. 2016 Jan 15;203:1125-6. doi: 10.1016/j.ijcard.2015.09.104. Epub 2015 Nov 21.
9
Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging.经冠状动脉内成像证实为壁内血肿的自发性冠状动脉夹层的血管造影表现。
Catheter Cardiovasc Interv. 2016 Feb 1;87(2):E54-61. doi: 10.1002/ccd.26022. Epub 2015 Jul 21.
10
Angiographically invisible spontaneous coronary artery dissection: A ticking time bomb during coronary intervention.血管造影隐匿性自发性冠状动脉夹层：冠状动脉介入治疗中的定时炸弹。
Int J Cardiol. 2015;187:374-6. doi: 10.1016/j.ijcard.2015.03.244. Epub 2015 Mar 18.
Zotero 插件