Document Detail

Multidetector computed tomography coronary angiography for the assessment of coronary in-stent restenosis.
MedLine Citation:
PMID:  20185011     Owner:  NLM     Status:  MEDLINE    
The investigators conducted a review to evaluate the diagnostic performance of multidetector computed tomography (MDCT) for coronary stent evaluation. The prespecified inclusion criteria selected prospective or retrospective human studies published in English. Studies that did not report raw numbers of diagnostic accuracy for the detection of in-stent restenosis were excluded. The data from 24 studies are reported, 6 performed with old-generation scanners (4-, 16-, and 40-slice MDCT) and 18 performed with 64-slice MDCT or dual-source MDCT. With old-generation MDCT, up to 18% of coronary stents were missed, the rate of nonevaluable stents ranged from 2.6% to 23.5%, and the overall feasibility and diagnostic accuracy were 90.4% and 90%, respectively. With 64-slice MDCT, no stent was missed, and the overall feasibility and diagnostic accuracy were 90.4% and 91.9%, respectively. Advancements in MDCT and stent technologies may further reduce the number of nonassessable stents and improve diagnostic performance.
Daniele Andreini; Gianluca Pontone; Saima Mushtaq; Mauro Pepi; Antonio Luca Bartorelli
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  105     ISSN:  1879-1913     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  645-55     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico, Department of Cardiovascular Science, University of Milan, Milan, Italy.
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MeSH Terms
Coronary Angiography*
Coronary Restenosis / radiography*
Graft Occlusion, Vascular / radiography*
Predictive Value of Tests
Reproducibility of Results
Tomography, X-Ray Computed*

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