An in-depth analysis of coronary computed tomography angiography segmental findings in acute spontaneous coronary artery dissection – a prospective multicenter study
In patients presenting with acute SCAD, CCTA should not be considered a substitute for ICA. While CCTA demonstrated good diagnostic performance in identifying proximal SCAD lesions, its sensitivity was notably reduced in distal coronary segments, where SCAD is more frequent. Among the 25 lesions detected, CCTA successfully detected specific features in 24 lesions.
Authors
- Kerstin Welén-Schef (ORCID: https://orcid.org/0000-0001-9852-9495)
- Hanna Markstad (ORCID: https://orcid.org/0000-0002-6385-9109)
- Christos Pagonis (ORCID: https://orcid.org/0000-0002-0993-485X)
- Loghman Henareh
- Christian Dworeck (ORCID: https://orcid.org/0000-0002-2012-5818)
- Eva Swahn (ORCID: https://orcid.org/0000-0002-2608-2062)
- Ellen Ostenfeld (ORCID: https://orcid.org/0000-0002-2655-2423)
- Erika Fagman (ORCID: https://orcid.org/0000-0002-0983-0313)
- Dimitrios Venetsanos (ORCID: https://orcid.org/0000-0001-5263-875X)
- Lilian Henriksson (ORCID: https://orcid.org/0000-0001-5485-6769)
- Nina Johnston (ORCID: https://orcid.org/0000-0001-6560-169X)
- Sofia Sederholm Lawesson (ORCID: https://orcid.org/0000-0002-4776-0870)
- David Adlam (ORCID: https://orcid.org/0000-0002-0080-9884)
- Natalie Glaser (ORCID: https://orcid.org/0000-0002-4386-1041)
- Troels Yndigegn (ORCID: https://orcid.org/0000-0002-8960-2125)
- David Erlinge (ORCID: https://orcid.org/0000-0003-3042-5766)
- Mårten Sandstedt (ORCID: https://orcid.org/0000-0002-0973-9499)
- Per Tornvall
- Jonas Andersson (ORCID: https://orcid.org/0000-0002-1635-7229)
- Mats Fredriksson
Institutions
- Linköping University (SE)
- Karolinska University Hospital (SE)
- Uppsala University Hospital (SE)
- Lund University (SE)
- Sahlgrenska University Hospital (SE)
- Danderyds sjukhus (SE)
- Karolinska Institutet (SE)
- Stockholm South General Hospital (SE)
- Glanrhyd Hospital (GB)
- Skåne University Hospital (SE)
- NIHR Leicester Biomedical Research Centre (GB)
- Umeå University (SE)
Publication Details
- Journal
- Journal of cardiovascular computed tomography
- Published
- 2025-08-28
- DOI
- https://doi.org/10.1016/j.jcct.2025.08.002
- Citations
- 3
- Primary Topic
- Cardiovascular Issues in Pregnancy
- Type
- article
- Field-Weighted Citation Impact
- 4.16
Funders
- British Heart Foundation
- Hjärt-Lungfonden