ArticleJACC. Case reports2026
Optical Coherence Tomography: Case Series and Review on Differentiating Spontaneous Coronary Artery Dissection From Recanalized Thrombus.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Clinical Decision-Making and Imaging-Guided Follow-Up Strategies in Spontaneous Coronary Artery Dissection.Journal of cardiovascular development and disease · 2026Review
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Authors and funding
2 authors.
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Abstract
backgroundSpontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome (ACS), particularly in younger patients without conventional cardiovascular risk factors. Accurate differentiation of recanalized thrombi is essential to avoid inappropriate treatment. CASE SUMMARY: Patients with ACS who underwent intracoronary imaging between January 2024 and June 2025 were retrospectively analyzed. Conventional angiography frequently misclassifies lesions. Optical coherence tomography (OCT) provides diagnostic clarity by identifying intramural hematoma and false lumen morphology in true SCAD, confirming recanalized thrombi through multiple intraluminal channels with preserved vessel walls, or ruling out SCAD by demonstrating fibrocalcific atherosclerosis. These findings directly impact therapeutic decisions, ranging from conservative management to revascularization. DISCUSSION: OCT consistently outperformed angiography in resolving the diagnostic ambiguity in suspected SCAD and thrombus, preventing misdirected interventions, and guiding pathology specific therapies.
conclusionsOCT is indispensable in suspected SCAD, refining diagnosis, enabling individualized treatment strategies, and improving patient outcomes.
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