Evaluation of Coronary Artery Bypass by CT Coronary Angiography

Donkol, Ragab H.; Mahmoud, Zizi S.; Elrawy, Mohammed

doi:10.5772/intechopen.70439

Cited by 2 publications

(1 citation statement)

References 28 publications

(40 reference statements)

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“…It has traditionally been estimated to range between 40% and 60% at 10-12 years. 11 Study show that evaluation of coronary bypass grafts by CTA is highly accurate in predicting the findings seen on ICA with a meta-analysis, of 16-and 64-slice CTAs quoting a sensitivity of 98% and specificity of 97% for graft stenosis or occlusion. 12 Table-IV: Cardiac CT review methodology.…”

Section: Discussionmentioning

confidence: 84%

Standardized approach to result analysis and interpretation of initial experience of coronary computed tomography angiography in a tertiary care hospital

et al. 2020

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Objective: To have a systematic standardized approach to performing and interpretation of coronary CT Angiography (CTA) in order to maintain and enhance the diagnostic accuracy of the imaging modality. Methods: This retrospective observational study was performed in Radiology Department, Lady Reading Hospital, Medical Teaching Institute, Peshawar, Pakistan from August 2018 to September 2019. Patients referred for coronary CT angiography were screened and prepared in radiology department. The examination was performed on Toshiba-160 slice CT Scanner (Prime Aquilion) utilizing standardized protocols tailored towards optimum image acquisition. Interpretation of the images were based on the guidelines provided by the Society of Cardiovascular Computed Tomography (SCCT). Results: Total 95 CTCA procedures were performed in the department, out of which 85 were included in study showing 49 (57%) as normal and 36 (42%) were positive for coronary disease. Of the abnormal cases 16(18.8%) had mild disease, nine (10.6%) patients had moderate disease, while severe disease was noted in 11 (12.9%) cases. Coronary quantitative stenosis revealed five cases (5.9%) with LAD involvement only and five (5.9%) with severe triple vessel disease. The remaining varied in degree of stenosis and number of segments involved. Post CABG were 14 cases (16%) and native arteries showed triple vessel disease. CTA for percutaneous stent patency were three (3.5%) cases with 100% stent patency. Conclusion: Patient selection with tailored protocols are the mainstay for achieving optimal images. This form the basis for accurate interpretation, based on a standardized and systematic approach, utilizing various post processing tools, in order to maintain the high diagnostic accuracy of this semi-invasive, safe imaging modality in a variety of patients suspected of coronary artery disease, coronary artery bypass grafts and stent patency. doi: https://doi.org/10.12669/pjms.36.4.2174 How to cite this:Nishtar T, Nadeem Ullah, Ahmad T, Ahmed F. Standardized approach to result analysis and interpretation of initial experience of coronary computed tomography angiography in a tertiary care hospital. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.2174 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 84%

Standardized approach to result analysis and interpretation of initial experience of coronary computed tomography angiography in a tertiary care hospital

et al. 2020

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Diagnostic and Management Strategies in Patients with Late Recurrent Angina after Coronary Artery Bypass Grafting

et al. 2022

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Purpose of Review This review will outline the current evidence on the anatomical, functional, and physiological tools that may be applied in the evaluation of patients with late recurrent angina after coronary artery bypass grafting (CABG). Furthermore, we discuss management strategies and propose an algorithm to guide decision-making for this complex patient population. Recent Findings Patients with prior CABG often present with late recurrent angina as a result of bypass graft failure and progression of native coronary artery disease (CAD). These patients are generally older, have a higher prevalence of comorbidities, and more complex atherosclerotic lesion morphology compared to CABG-naïve patients. In addition, guideline recommendations are based on studies in which post-CABG patients have been largely excluded. Summary Several invasive and non-invasive diagnostic tools are currently available to assess graft patency, the hemodynamic significance of native CAD progression, left ventricular function, and myocardial viability. Such tools, in particular the latest generation coronary computed tomography angiography, are part of a systematic diagnostic work-up to guide optimal repeat revascularization strategy in patients presenting with late recurrent angina after CABG.

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Evaluation of Coronary Artery Bypass by CT Coronary Angiography

Cited by 2 publications

References 28 publications

Standardized approach to result analysis and interpretation of initial experience of coronary computed tomography angiography in a tertiary care hospital

Standardized approach to result analysis and interpretation of initial experience of coronary computed tomography angiography in a tertiary care hospital

Diagnostic and Management Strategies in Patients with Late Recurrent Angina after Coronary Artery Bypass Grafting

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