Document Detail

Indications for multidetector computed tomographic coronary angiography after catheter-based coronary angiography.
MedLine Citation:
PMID:  18174610     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study was designed to evaluate the indications for performing multidetector computed tomographic coronary angiography (MDCTA) after catheter-based coronary angiography. BACKGROUND: Appropriateness criteria for MDCTA apply exclusively to patient evaluation prior to catheter-based angiography. METHODS: All MDCTA performed after catheterbased angiography at a tertiary referral center were reviewed. RESULTS: Fourteen of a total of 2,000 MDCTAs (0.7%) fulfilled the criteria: 14 were performed after catheter-based angiography. The indications were: 1) inability to selectively cannulate a native vessel or graft; 2) severe pressure damping limiting safe angiography; 3) ostial disease; 4) course of anomalous vessels; 5) relationship of bypass grafts to the sternum; 6) graft morphology; 7) chronic total occlusions. In all cases, the MDCTA enabled definitive treatment. CONCLUSIONS: In a variety of scenarios, MDCT coronary angiography may provide essential information as an adjunctive tool after catheter-based angiography. Indications for MDCTA should be expanded to accommodate these clinical necessities.
Harvey S Hecht; Vladimir Jelnin; Gary S Roubin
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-04     Completed Date:  2008-02-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-6     Citation Subset:  IM    
Lenox Hill Heart and Vascular Institute, 130 E. 77th Street, New York, NY, 10021, USA.
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MeSH Terms
Cohort Studies
Coronary Angiography / methods*
Coronary Disease / physiopathology,  radiography*
Heart Catheterization / methods*
Image Processing, Computer-Assisted
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Comment In:
J Invasive Cardiol. 2008 Jan;20(1):7-8   [PMID:  18174611 ]

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

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