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Case Reports in Cardiology
Volume 2016 (2016), Article ID 5643819, 4 pages
http://dx.doi.org/10.1155/2016/5643819
Case Report

Spontaneous Coronary Dissection: “Live Flash” Optical Coherence Tomography Guided Angioplasty

Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal

Received 30 October 2015; Revised 23 January 2016; Accepted 27 January 2016

Academic Editor: Assad Movahed

Copyright © 2016 Angela Pimenta Bento et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Optical Coherence tomography (OCT) is a light-based imaging modality which shows tremendous potential in the setting of coronary imaging. Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS). The diagnosis of SCAD is made mainly with invasive coronary angiography, although adjunctive imaging modalities such as computed tomography angiography, IVUS, and OCT may increase the diagnostic yield. The authors describe a clinical case of a young woman admitted with the diagnosis of ACS. The ACS was caused by SCAD detected in the coronary angiography and the angioplasty was guided by OCT. OCT use in the setting of SCAD has been already described and the true innovation in this case was this unique use of OCT. The guidance of angioplasty with live and short images was very useful as it allowed clearly identifying the position of the guidewires at any given moment without the use of prohibitive amounts of contrast.