title: Spontaneous Coronary Dissection: "Live Flash" Optical Coherence Tomography Guided Angioplasty.
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.
authors.affiliation: Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal.
authors.forename: Angela Pimenta
authors.initials: AP
authors.lastname: Bento
authors.affiliation: Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal.
authors.forename: Renato Gil Dos Santos Pinto
authors.initials: RG
authors.lastname: Fernandes
authors.affiliation: Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal.
authors.forename: David Cintra Henriques Silva
authors.initials: DC
authors.lastname: Neves
authors.affiliation: Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal.
authors.forename: Lino Manuel Ribeiro
authors.initials: LM
authors.lastname: Patrício
authors.affiliation: Hospital do Espirito Santo, Largo Senhor da Pobreza, 7000-811 Évora, Portugal.
authors.forename: José Eduardo Chambel
authors.initials: JE
authors.lastname: de Aguiar