Abstract
Background: The purpose of my study is to prospectively assess the diagnostic performance of 128-slice Multidetector computed tomography (CT) for coronary artery disease with conventional coronary angiography as reference standard
Methods: 128 slice CT coronary angiography was performed in 53 patients prior to conventional coronary angiography. 7 patients had prior surgical intervention.
Results: On CT coronary angiography, out of 46 patients - 16 (normal), 10 (insignificant stenosis), 11(Single vessel disease), 5 (Two vessel disease) & 4 (three vessel disease). Out of the total 53 lesions detected in DSA 14 (mild grade), 22(moderate grade) & 17 (severe grade).
Conclusion: 128 slice MDCT is currently the most accurate & non-invasive modality for the detection of coronary artery disease. However in the future, it will not replace coronary angiography as the reference tool. In patients with modest heart rate MDCT is a reliable alternative to catheter angiography.
Keywords: MDCT Coronary Angiography,Ischemic Heart Disease.
References
- Ropers D, Vizheimer S, Wenker E, et al. Investigation of aorta coronary bypass grafts by multislice CT with ECG-gated image reconstruction. Am J Cardiol 2001; 88: 792-795.
- Campcau L, Enjalberk M, Lseperance J, et al. The relation of risk factors to the development of atherosclerosis in saphenous vein bypass grafts and the progression of disease in the native circul-ation. N Engl J Med 1984; 311: 1329-32.
- Fitzgibbon GM, Kafka HP, Leach AJ, et al. Coronary bypass graft fate and patient outcome. J Am Coll Cardiol 1996; 28: 616-26.
- Bourassa MG. Fate of venous grafts: the past, the present and the future. JACC 1991; 5: 1081-83.
- Helene Vernket-Kovacsik, Poscal Batti-stella, Roland Demaria, et al. Early post-operative assessment of CABG patency and anatomy. AJR 2006; 186: s395-s400.
- Yamaguchi A, Adachi H, Inot, et al. 3D CT angiography as pre-operative evaluation of a patent internal thoracic artery graft. J Thorac Cardiovas Surg 2000; 120: 811-812.
- Serruys PW, Emanuelsson H, van der Giessen W, et al. Heparin-coated Palmaz-Schatz stents in human coronary arteries: early outcome of the Benestent-II pilot study. Circulation 1996; 93: 412-422.
- Erbel R, haude M, Hopp HW, et al. Coronary artery stenting compared with balloon angioplasty for restenosis after initial balloon angioplasty: Restenosis Stent (REST) Study Group. N Engl J Med 1998; 339: 1672-78.
- Antoniucci D, Valenti R, Santroo GM, et al. Restenosis after coronary stenting in current clinical practice. Am Heart J 1998; 135: 510-518.
- DiMario C, Reimers B, Almagor Y, et al. Procedural and follow up results with a new balloon expandable stent in unsele-cted lesions. Heart 1998; 79: 234-41.
- De Gregorio J, Kobayashi Y, Albeiro R, et al. Coronary artery stenting in the elderly: short term outcome and longterm angiographic and clinical follow-up. JACC 1998; 32: 577-83.
- Bittl JA. Advances in coronary angioplasty. N Engl J Med 1996; 335: 1290-1302.
- Konstantin Nikolaou, Andreas Knez, et al. Accuracy of 64-MDCT in the Diagnosis of Ischemic Heart Disease AJR 2006; 187:111-117
- Rajneesh Madhokand Abhinav Aggarwal, et al. Comparison of 128-Slice Dual Source CT Coronary Angiography with Invasive Coronary Angiography. J Clin Diagn Res. 2014 Jun; 8(6): RC08–RC11.
- Sherif W Ayad, Eman M El Sharkawy, Salah M ElTahan, Mohamed A Sobhy, and Reem H Laymouna et al. The Role of 64/128-Slice Multidetector Computed Tomography to Assess the Progression of Coronary Atherosclerosis. Clin Med Insights Cardiol. 2015; 9: 47–52.
Corresponding Author
Dr Muthu Kumar Sakthivel
No:5, Pattammal Nagar, Valatheru, Karaikal -609602
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