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Role of Computed Tomography Angiography in Setting of Spontaneous Coronary Artery Dissection

Mnahi Bin Saeedan1, Jay Ramchand2, Michael Bolen1

  • 1Sections of Thoracic Imaging and Cardiovascular Imaging, Imaging Institute, Cleveland Clinic, Cleveland, OH.

Current Problems in Diagnostic Radiology
|September 20, 2020
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attack in young women. Coronary computed tomography angiography (CTA) shows promise for diagnosing SCAD and related vascular issues.

Area of Science:

  • Cardiology
  • Radiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome, primarily impacting young women.
  • Catheter-based coronary angiography with intracoronary imaging is the current diagnostic standard.
  • Conservative management is favored for stable SCAD patients due to intervention risks.

Purpose of the Study:

  • To review the utility of coronary computed tomography angiography (CTA) in evaluating SCAD.
  • To explore CTA's role in diagnosing SCAD and associated extracoronary abnormalities.
  • To assess CTA's potential in SCAD follow-up.

Main Methods:

  • Review of current literature and clinical guidelines regarding SCAD diagnosis and management.
  • Analysis of the diagnostic accuracy of coronary computed tomography angiography (CTA) for SCAD.
  • Evaluation of CTA's effectiveness in identifying extracoronary vascular abnormalities linked to SCAD.

Main Results:

  • Coronary computed tomography angiography (CTA) demonstrates potential for SCAD diagnosis and follow-up.
  • CTA is valuable for screening associated extracoronary vascular abnormalities.
  • Intracoronary imaging complements angiography in SCAD diagnosis.

Conclusions:

  • Coronary computed tomography angiography (CTA) is a valuable noninvasive tool for SCAD evaluation.
  • CTA aids in identifying SCAD and associated conditions, guiding management.
  • Further research may solidify CTA's role in SCAD patient care.

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