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Optical Coherence Tomography: Case Series and Review on Differentiating Spontaneous Coronary Artery Dissection From

R Ananthakrishnan1, Bharat S Sambyal1

  • 1Department of Cardiology, Institute of Marine Medicine INHS Asvini, Mumbai, India.

JACC. Case Reports
|January 21, 2026
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a key cause of acute coronary syndrome (ACS). Optical coherence tomography (OCT) imaging accurately diagnoses SCAD, preventing incorrect treatments and guiding personalized patient care.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome (ACS), particularly in younger individuals lacking traditional cardiovascular risk factors.
  • Accurate differentiation between SCAD and recanalized thrombi is crucial to prevent inappropriate therapeutic interventions.
Abstract

Keywords:
acute coronary syndromecoronary angiographyoptical coherence tomographyrecanalized thrombusspontaneous coronary artery dissection

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