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Perivascular Epicardial Fat Stranding at Coronary CT Angiography: A Marker of Acute Plaque Rupture and Spontaneous Coronary Artery Dissection
Perivascular Epicardial Fat Stranding at Coronary CT Angiography: A Marker of Acute Plaque Rupture and Spontaneous Coronary Artery Dissection
- Source :
- Radiology; June 2018, Vol. 287 Issue: 3 p808-815, 8p
- Publication Year :
- 2018
-
Abstract
- Our study describes perivascular epicardial fat stranding, which has the potential to improve the detection of higher-risk patients with coronary atherosclerosis or can act as a marker of a non-atherosclerotic cause of stenosis (ie, spontaneous coronary artery dissection [SCAD]). Perivascular fat stranding was seen in 5% of low-to-intermediate pretest risk patients found to have moderate or higher degrees of stenosis (Coronary Artery Disease Reporting and Data System [CAD-RADS] 3–5) and was seen less commonly along with the classic high-risk plaque features (vulnerable plaque, CAD-RADS modifier V). Recognition of perivascular fat stranding may be helpful in identifying culprit lesion, SCAD, and patients at elevated risk for acute coronary syndrome.
Details
- Language :
- English
- ISSN :
- 00338419 and 15271315
- Volume :
- 287
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Radiology
- Publication Type :
- Periodical
- Accession number :
- ejs45638140
- Full Text :
- https://doi.org/10.1148/radiol.2017171568