Optical coherence tomography (OCT) is a light-based imaging modality with great potential in coronary imaging. Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). The diagnosis of SCAD is made primarily by invasive coronary angiography, although additional imaging modalities such as CT angiography, IVUS, and OCT may enhance the diagnostic outcome. The authors describe the clinical case of a young woman hospitalized with a diagnosis of SCA. SCA-induced SCAD was detected in coronary angiography and OCT-guided angioplasty. The use of OCT in the context of SCAD has been described and the real innovation in this case is this unique use of OCT. Short and direct visual angioplasty guidance is very useful because it allows the location of the guide wires to be clearly determined at all times without the need for a large amount of contrast medium. Optical coherence tomography (OCT) is a light-based imaging modality with great potential in coronary imaging. Compared with intravascular ultrasound (IVUS), OCT has ten times the image resolution. It has the ability to describe the structure and extent of coronary artery disease in unprecedented detail because different components of atherosclerotic plaque have different properties. In everyday practice, OCT is useful to guide complex interventions. Image acquisition has some peculiarities because the blood must be moved during the OCT scan. In fact, OCT images are obtained and recorded when the coronary artery is flushed with contrast and the imaging tip of the catheter is withdrawn.
KeywordsHip surgery; Hydrocele surgery; Hysterectomy surgery; Implants surgery; Laparoscopic surgery; Minimally invasive surgery
Published Date: 2023-04-28; Received Date: 2023-04-03
