Document Detail


Coronary aorto-ostial stenosis analysed by multislice computed tomography: a new tool for percutaneous coronary intervention?
MedLine Citation:
PMID:  21205594     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
AIMS: Conventional quantitative coronary angiography approaches are limited to quantify complex aorto-ostial stenosis. Multislice CT was able to detect and classify coronary plaques, compared with intravascular ultrasound (IVUS). The aim of the present study was to determine the accuracy of multislice computed tomography (CT) in addition to conventional angiography to identify aorto-ostial coronary stenosis characteristics before revascularisation.
METHODS AND RESULTS: Patients with coronary ostial stenosis were selected for the study. All patients had selective coronary angiography and retrospectively ECG-gated multislice CT (Siemens AG, Munich, Germany). IVUS was performed in patients with ambiguous ostial stenosis revealed by angiography. Forty significant aorto-ostial lesions (38 patients) were analysed by two independent observers in comparison with an expert consensus blinded or not to the coronary CT data sets. Using CT in addition to angiography permitted observers to obtain a strong agreement for assessment of calcified lesions (kappa value 0.75), a good agreement for aortic plaques location and ideal stent position in aorto-ostial coronary stenosis.
CONCLUSIONS: This study shows that CT associated with an angiogram allows a better identification of aorto-ostial plaques morphology and ideal stent position in aorto-ostial coronary stenosis before angioplasty.
Authors:
David Pesenti-Rossi; Malik Chouli; Mostari Gharbi; Saïd Ghostine; Yacoub Habib; Philippe Brenot; Claude-Yves Angel; Jean-François Paul; André Capderou; Bernard Lancelin; Christophe Caussin
Related Documents :
21169154 - Dissection of the left main coronary artery during percutaneous intervention: successfu...
22785034 - Electrical activity of the mouse pulmonary vein myocardium.
21205604 - Guidance of percutaneous coronary interventions by multidetector row computed tomograph...
7634884 - Pulmonary complications associated with illicit drug use. an update.
3519224 - Evaluation of total anomalous pulmonary venous drainage with cross-sectional colour-flo...
11877704 - Differential effects of vascular growth factors on arterial and venous angiogenesis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology     Volume:  6     ISSN:  1969-6213     ISO Abbreviation:  EuroIntervention     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101251040     Medline TA:  EuroIntervention     Country:  France    
Other Details:
Languages:  eng     Pagination:  717-21     Citation Subset:  IM    
Affiliation:
Department of cardiology, Marie Lannelongue Hospital, Le Plessis Robinson, France. d.pesentirossi@ccmi.fr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The feasibility and safety of applying the Magnetic Navigation System to manage chronically occluded...
Next Document:  Triggering mechanisms of stent thrombosis.