Document Detail

Elongated eccentric soft coronary plaque: major diagnostic pitfall on quantitative coronary angiography overpowered by computed tomography coronary angiography and intravascular ultrasound.
MedLine Citation:
PMID:  16732829     Owner:  NLM     Status:  MEDLINE    
We describe a significant left anterior descending coronary lesion in a patient with unstable angina pectoris. This lesion was erroneously underestimated using quantitative coronary angiography; however, CT coronary angiography correctly showed a significant, elongated, eccentric, soft plaque that was later confirmed by repeated quantitative coronary angiography with intravascular ultrasound. As showed, CT coronary angiography may offer a reliable non-invasive alternative to quantitative coronary angiography and intravascular ultrasound by enabling a true 3-D coronary lumenogram combined with plaque detection and characterization.
E Ghersin; D Litmanovich; A Kerner; A Engel; T Hayek
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Australasian radiology     Volume:  50     ISSN:  0004-8461     ISO Abbreviation:  Australas Radiol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-30     Completed Date:  2006-08-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0047441     Medline TA:  Australas Radiol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  267-70     Citation Subset:  IM    
Department of Radiology, Rambam Medical Center, B. Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography*
Coronary Artery Disease / radiography*,  therapy,  ultrasonography*
Diagnosis, Differential
Diagnostic Errors
Middle Aged
Tomography, X-Ray Computed*
Ultrasonography, Interventional*

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

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