SCAD Angiography

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.

Shown below are animated and static angiography images exemplifying each type of spontaneous coronary artery dissection (SCAD).

For clinical aspects of the disease and review of the classification scheme click here.

Type 1

Projection angle: 14 RAO, 35 CRA. Type 1 SCAD is seen in OM2.

Projection angle: 28 RAO, 23 CRA. Type 1 SCAD is seen in L3.

Projection angle: 30 RAO, 30 CAU. Type 1 SCAD is seen in L2.

Projection angle: 33 LAO, 2 CRA. Two independent type 1 SCAD lesions are seen in R2 and R3.

Projection angle: 26 RAO, 24 CAU. Type 1 SCAD is seen in OM1/OT. Note, there is also a type 2A in C1.

Projection angle: 36 RAO, 11 CAU. Type 1 SCAD is seen in L1, L2. Note, there is also a type 2B in OM1.

Type 2A

Projection angle: 25 LAO, 20 CRA. Type 2A SCAD is seen in R3, R4.

Projection angle: 23 RAO, 14 CRA. Type 2A SCAD is seen in L3.

Projection angle: 25 RAO, 25 CRA. Type 2A SCAD is seen in L2.

Projection angle: 5 LAO, 34 CRA. Type 2A SCAD is seen in L3.

Projection angle: 13 LAO, 42 CRA. Type 2A SCAD is seen in L2, D2.

Projection angle: 31 LAO, 24 CRA. Type 2A SCAD is seen in L2 and D1.

Type 2B

Projection angle: 41 RAO, 19 CRA. Type 2B SCAD is seen starting in L2 resulting in a total occlusion.

Projection angle: 36 RAO, 11 CAU. Type 2B SCAD is seen in OM1. Note, there is also a type 1 in L1, L2.

Projection angle: 11 RAO, 22 CRA. Type 2B SCAD is seen in OM2.

Projection angle: 30 RAO, 1 CRA. Type 2B SCAD is seen in OM2.

Type 3

Projection angle: 1 LAO, 35 CRA. Type 3 SCAD is seen in D1.

Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.

Projection angle: 0 RAO, 38 CRA. Type 3 SCAD is seen in L3.

Projection angle: 3 RAO, 26 CRA. Type 3 SCAD is seen in L2.

Projection angle: 7 RAO, 39 CRA. Type 3 SCAD is seen in S1.

Projection angle: 10 RAO, 14 CAU. Type 3 SCAD is seen in L3.