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Updated: Apr 30, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Angiographic patterns in spontaneous coronary artery dissection: novel diagnostic insights
Marcos García-Guimarães1,2, Teresa Bastante3, David Del Val3
1Cardiology Department, Hospital Universitario Arnau de Vilanova, Lleida, Spain.
Introduction:
Spontaneous coronary artery dissection (SCAD) is a rare but well-recognized cause of acute coronary syndrome, especially important in women. Invasive coronary angiography (ICA) is the fundamental diagnostic technique for the confirmation of SCAD. Knowing the angiographic patterns suggestive of SCAD is essential for the correct identification of patients with this entity.
Areas Covered:
In this narrative review, the main angiographic characteristics of SCAD lesions as detected by ICA are presented and discussed.
Expert Opinion:
In addition to the specific angiographic classification of SCAD, several authors have described complementary angiographic patterns suggestive of SCAD. Knowledge and correct identification of these angiographic patterns is essential for the correct diagnosis of patients with clinical suspicion of SCAD.
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