SCAD Angiography: Difference between revisions

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__NOTOC__
Shown below are animated and static angiography images exemplifying each type of spontaneous coronary artery dissection (SCAD).
Shown below are animated and static angiography images exemplifying each type of spontaneous coronary artery dissection (SCAD).


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==Type 1==
==Type 1==
<br>
[[File:28-2-type-1-14RAO35CRA.gif|300px|]]
[[File:28-2-type-1-14RAO35CRA.gif|300px|]]
[[File:28-2 type 1 14RAO35CRA.jpg|300px|]]
[[File:28-2 type 1 14RAO35CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.</span>
<span style="font-size:85%">Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.</span>


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[[File:85-1 type 1 28RA023CAU.gif|300px|]]
[[File:85-1 type 1 28RA023CAU.gif|300px|]]
[[File:85-1 type 1 28RA023CAU.jpg|300px|]]
[[File:85-1 type 1 28RA023CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.</span>


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[[File:19-1 type 1 30RAO30CAU.gif|300px|]]
[[File:19-1 type 1 30RAO30CAU.gif|300px|]]
[[File:19-1 type 1 30RAO30CAU.jpg|300px|]]
[[File:19-1 type 1 30RAO30CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.</span>
<span style="font-size:85%">Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.</span>


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[[File:22-1-type-1-33LAO2CRA.gif|300px|]]
[[File:22-1-type-1-33LAO2CRA.gif|300px|]]
[[File:22-1 type 1 33LAO2CRA.jpg|300px|]]
[[File:22-1 type 1 33LAO2CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.</span>
<span style="font-size:85%">Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.</span>


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[[File:58-1 type 1 LCx 26RAO24CAU.gif|300px|]]
[[File:58-1 type 1 LCx 26RAO24CAU.gif|300px|]]
[[File:58-1 type 1 LCx 26RAO24CAU.jpg|300px|]]
[[File:58-1 type 1 LCx 26RAO24CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.</span>
<span style="font-size:85%">Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.</span>


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[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.</span>
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.</span>


==Type 2A==
==Type 2A==
<br>
[[File:1-1-type-2A-RAD-25LAO20CRA.gif|300px|]]
[[File:1-1-type-2A-RAD-25LAO20CRA.gif|300px|]]
[[File:1-1 type 2A RAD 25LAO20CRA.jpg|300px|]]
[[File:1-1 type 2A RAD 25LAO20CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.</span>
<span style="font-size:85%">Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.</span>


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[[File:26-1 type 2A 23RAO14CRA.gif|300px|]]
[[File:26-1 type 2A 23RAO14CRA.gif|300px|]]
[[File:26-1 type 2A 23RAO14CRA.jpg|300px|]]
[[File:26-1 type 2A 23RAO14CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.</span>


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[[File:35-1 type 2A LAD 25RAO25CRA.gif|300px|]]
[[File:35-1 type 2A LAD 25RAO25CRA.gif|300px|]]
[[File:35-1 type 2A LAD 25RAO25CRA.jpg|300px|]]
[[File:35-1 type 2A LAD 25RAO25CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.</span>
<span style="font-size:85%">Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.</span>


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[[File:39- type2A L2 5LAO34CRA.gif|300px|]]
[[File:39- type2A L2 5LAO34CRA.gif|300px|]]
[[File:39- type2A L2 5LAO34CRA.jpg|300px|]]
[[File:39- type2A L2 5LAO34CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.</span>


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[[File:42-1 type 2A L2intoD2 13LAO42CRA.gif|300px|]]
[[File:42-1 type 2A L2intoD2 13LAO42CRA.gif|300px|]]
[[File:42-1 type 2A L2intoD2 13LAO42CRA.jpg|300px|]]
[[File:42-1 type 2A L2intoD2 13LAO42CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.</span>
<span style="font-size:85%">Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.</span>


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[[File:47-1 type 2A D1&L2 31LAO24CRA.gif|300px|]]
[[File:47-1 type 2A D1&L2 31LAO24CRA.gif|300px|]]
[[File:47-1 type 2A D1&L2 31LAO24CRA.jpg|300px|]]
[[File:47-1 type 2A D1&L2 31LAO24CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.</span>
<span style="font-size:85%">Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.</span>


==Type 2B==
==Type 2B==
<br>
[[File:24-1-type-2B-LAD-41RAO19CRA-TFG0.gif|300px|]]
[[File:24-1-type-2B-LAD-41RAO19CRA-TFG0.gif|300px|]]
[[File:24-1 type 2B LAD 41RAO19CRA TFG0.jpg|300px|]]
[[File:24-1 type 2B LAD 41RAO19CRA TFG0.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.</span>
<span style="font-size:85%">Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.</span>


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[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1-type-1-36RAO11CAU.gif|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
[[File:72-1 type 1 36RAO11CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.</span>
<span style="font-size:85%">Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.</span>


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[[File:28-1 type 2B 11RAO22CRA.gif|300px|]]
[[File:28-1 type 2B 11RAO22CRA.gif|300px|]]
[[File:28-1 type 2B 11RAO22CRA.jpg|300px|]]
[[File:28-1 type 2B 11RAO22CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.</span>
<span style="font-size:85%">Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.</span>


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[[File:38-1 type 2B OM2 30RAO1CAU.gif|300px|]]
[[File:38-1 type 2B OM2 30RAO1CAU.gif|300px|]]
[[File:38-1 type 2B OM2 30RAO1CAU.jpg|300px|]]
[[File:38-1 type 2B OM2 30RAO1CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.</span>
<span style="font-size:85%">Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.</span>


==Type 3==
==Type 3==
<br>
[[File:11-1 type 2B&3 1 LAO35CRA.gif|300px|]]
[[File:11-1 type 2B&3 1 LAO35CRA.gif|300px|]]
[[File:11-1 type 2B&3 1 LAO35CRA.jpg|300px|]]
[[File:11-1 type 2B&3 1 LAO35CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.</span>
<span style="font-size:85%">Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.</span>


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[[File:2-1 type 3 LAD 0RAO38CRA.gif|300px|]]
[[File:2-1 type 3 LAD 0RAO38CRA.gif|300px|]]
[[File:2-1 type 3 LAD 0RAO38CRA.jpg|300px|]]
[[File:2-1 type 3 LAD 0RAO38CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>


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[[File:20-1-type-3-35RAO28CAU.gif|300px|]]
[[File:20-1-type-3-35RAO28CAU.gif|300px|]]
[[File:20-1 type 3 35RAO28CAU.jpg|300px|]]
[[File:20-1 type 3 35RAO28CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.</span>


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[[File:25-1-type-3-L2-3RAO26CRA.gif|300px|]]
[[File:25-1-type-3-L2-3RAO26CRA.gif|300px|]]
[[File:25-1 type 3 L2 3RAO26CRA.jpg|300px|]]
[[File:25-1 type 3 L2 3RAO26CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.</span>
<span style="font-size:85%">Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.</span>


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[[File:73-1 type 3 S1 7RAO39CRA.gif|300px|]]
[[File:73-1 type 3 S1 7RAO39CRA.gif|300px|]]
[[File:73-1 type 3 S1 7RAO39CRA.jpg|300px|]]
[[File:73-1 type 3 S1 7RAO39CRA.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.</span>
<span style="font-size:85%">Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.</span>


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[[File:76-1 type 3 10RAO14CAU.gif|300px|]]
[[File:76-1 type 3 10RAO14CAU.gif|300px|]]
[[File:76-1 type 3 10RAO14CAU.jpg|300px|]]
[[File:76-1 type 3 10RAO14CAU.jpg|300px|]]
 
<br>
<span style="font-size:85%">Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.</span>
<span style="font-size:85%">Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.</span>

Latest revision as of 15:04, 10 July 2017

Shown below are animated and static angiography images exemplifying each type of spontaneous coronary artery dissection (SCAD).

For clinical aspects of the disease and review of the classification scheme click here.

Type 1


28-2-type-1-14RAO35CRA.gif 28-2 type 1 14RAO35CRA.jpg
Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.


85-1 type 1 28RA023CAU.gif 85-1 type 1 28RA023CAU.jpg
Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.


19-1 type 1 30RAO30CAU.gif 19-1 type 1 30RAO30CAU.jpg
Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.


22-1-type-1-33LAO2CRA.gif 22-1 type 1 33LAO2CRA.jpg
Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.


58-1 type 1 LCx 26RAO24CAU.gif 58-1 type 1 LCx 26RAO24CAU.jpg
Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.


72-1-type-1-36RAO11CAU.gif 72-1 type 1 36RAO11CAU.jpg
Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.

Type 2A


1-1-type-2A-RAD-25LAO20CRA.gif 1-1 type 2A RAD 25LAO20CRA.jpg
Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.


26-1 type 2A 23RAO14CRA.gif 26-1 type 2A 23RAO14CRA.jpg
Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.


35-1 type 2A LAD 25RAO25CRA.gif 35-1 type 2A LAD 25RAO25CRA.jpg
Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.


39- type2A L2 5LAO34CRA.gif 39- type2A L2 5LAO34CRA.jpg
Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.


42-1 type 2A L2intoD2 13LAO42CRA.gif 42-1 type 2A L2intoD2 13LAO42CRA.jpg
Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.


47-1 type 2A D1&L2 31LAO24CRA.gif 47-1 type 2A D1&L2 31LAO24CRA.jpg
Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.

Type 2B


24-1-type-2B-LAD-41RAO19CRA-TFG0.gif 24-1 type 2B LAD 41RAO19CRA TFG0.jpg
Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.


72-1-type-1-36RAO11CAU.gif 72-1 type 1 36RAO11CAU.jpg
Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.


28-1 type 2B 11RAO22CRA.gif 28-1 type 2B 11RAO22CRA.jpg
Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.


38-1 type 2B OM2 30RAO1CAU.gif 38-1 type 2B OM2 30RAO1CAU.jpg
Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.

Type 3


11-1 type 2B&3 1 LAO35CRA.gif 11-1 type 2B&3 1 LAO35CRA.jpg
Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.


2-1 type 3 LAD 0RAO38CRA.gif 2-1 type 3 LAD 0RAO38CRA.jpg
Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.


20-1-type-3-35RAO28CAU.gif 20-1 type 3 35RAO28CAU.jpg
Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.


25-1-type-3-L2-3RAO26CRA.gif 25-1 type 3 L2 3RAO26CRA.jpg
Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.


73-1 type 3 S1 7RAO39CRA.gif 73-1 type 3 S1 7RAO39CRA.jpg
Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.


76-1 type 3 10RAO14CAU.gif 76-1 type 3 10RAO14CAU.jpg
Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.

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