Spontaneous Coronary Artery Dissection

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Spontaneous coronary artery dissection (SCAD) is under-diagnosed and the true prevalence is underestimated. Unfortunately, SCAD is frequently missed on coronary angiogram since the arterial wall is not imaged with this test. Intracoronary imaging with optical coherence tomography or intravascular ultrasound improves the diagnosis of SCAD. SCAD is also frequently associated with predisposing arteriopathy and precipitating stressors. Management with revasularization is challenging, such that conservative therapy is typically recommended for stable patients, especially since the majority of SCAD lesions heal spontaneously. This webcast will provide an overview of the contemporary literature on SCAD.


Jacqueline Saw

Jacqueline Saw

Educational Objectives

  • Spontaneous coronary artery dissection (SCAD) definition & epidemiology
  • Diagnosis of SCAD on angiography and intracoronary imaging
  • Predisposing arteriopathy and precipitating stressors with SCAD
  • Management of SCAD

Target Audience

  • Interventional cardiologists
  • Electrophysiologists
  • Cardiologists
  • General internist and family physicians

Faculty Biographies

Jacqueline Saw

Jacqueline Saw

Dr Jacqueline Saw is a Clinical Associate Professor in the Division of Cardiology at the University of British Columbia, Program Director for VGH Interventional Cardiology Fellowship Program and Head for VGH Cardiology Clinical Trials Research. 

Dr Saw obtained her her MD from the University of Ottawa. Her clinical expertise is in management of SCAD (spontaneous artery dissection), FMD (fibromuscular dysplasia) and left atrial appendage closure. Current research interests include spontaneous coronary artery dissection (SCAD), antiplatelet therapy, percutaneous coronary intervention, carotid artery stenting, peripheral intervention, left atrial appendage closure, and non-atherosclerotic coronary artery disease.

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Key References

1. Saw J, Aymong E, Buller CE, Starovoytov A, Ricci D, Robinson S, Vuurmans T, Gao M, Humphries K, Mancini GBJ. Spontaneous Coronary Artery Dissection: Association with Predisposing Arteriopathies and Precipitating Stressors, and Cardiovascular Outcomes. Circ Cardiovasc Interv 2014;7(5):645-55

2. Saw J. Coronary angiogram classification of Spontaneous Coronary Artery Dissection. Cathet Cardiovasc Interv 2014;84(7):1115-22

3. Saw J. Spontaneous coronary artery dissection. Can J Cardiol 2013 Sep;29(9):1027-33

4. Vijayaraghavan R, Verma S, Gupta N, Saw J. Pregnancy-Related Spontaneous Coronary Artery Dissection. Clinician Update. Circulation 2014;130(21):1915-20