Imaging Features of Complications after Coronary Interventions and                    Surgical Procedures

Goerne, Harold; Fuente, D. de la; Cabrera, Miguel; Chaturvedi, Abhishek; Vargas, Daniel; Young, Phillip M.; Saboo, Sachin S.; Rajiah, Prabhakar

doi:10.1148/rg.2021200147

Cited by 13 publications

(12 citation statements)

References 82 publications

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Section: Discussionmentioning

confidence: 99%

“…In the presence of CAD, ICA shows the luminal diameter, stenosis rate, and luminal irregularity with high resolution (3,6). An important advantage of ICA is that it facilitates the use of interventional procedures, such as balloon or stent placement in the stenotic region under emergency or elective conditions according to the clinical findings from the examination of the patient (6). However, since ICA indirectly displays the lumen of the coronary arteries secondary to contrast enhancement, it only provides information about the lumen and does not allow direct observation of the arterial wall.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the invasive nature of ICA brings certain risks, the severity of which is related to the skill and experience of the angiographer, the stability of the patient's clinical symptoms, and the diffuseness of CAD. The most important complications are stroke, myocardial infarction, and death (6)(7)(8). The high cost of ICA and the requirement of interventional procedures only in one third of cases are among the other disadvantages of this procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The high cost of ICA and the requirement of interventional procedures only in one third of cases are among the other disadvantages of this procedure. Therefore, a more cost-effective and non-invasive imaging method is necessary for diagnostic purposes (3,6,7).…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Multi-Detector Computed Tomography Coronary Angiography with Invasive Coronary Angiography in Patients with Coronary Artery Disease

Şahin

Görmeli²,

Dağ

et al. 2021

Medical Records

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Aim: This study aimed to investigate the accuracy of multi-detector computed tomography (MDCT) coronary angiography via comparing with the invasive coronary angiography (ICA). Material and Method: Sixty-three patients (42 male, 21 female) that presented with chest pain and underwent MDCT, followed by ICA within one month were evaluated. The age of the patients ranged from 35 to 75 years. The coronary arteries were examined over a total of 15 segments according to American Heart Association classification. The detected stenoses of coronary artery were divided into four groups; non-obstructive (1-49%), significant stenosis (50-74%), high-grade stenosis (75-99%), and occlusion (100%). Segment-based and patient-based analyses were performed. The results of MDCT coronary angiography and ICA were compared. The sensitivity, specificity, positive predictive and negative predictive values were calculated by comparing the MDCT coronary angiography and ICA data.Results: In the segment-based analysis, regardless of the stenosis rate, the sensitivity was 90.8%, specificity was 95%, positive predictive value was 82.7% and negative predictive value was 97.5%. In the segment-based analysis regarding the detection of ≥ 50% stenosis, the sensitivity specificity, positive predictive and negative predictive values were 89.6%, 95.9%, 59.0%, and 99.2%, respectively. In the patient-based analysis regarding the detection of ≥ 50% stenosis, the sensitivity was 96.2%, specificity was 66.6%, positive predictive value was 68.4%, and negative predictive value was 96%. Conclusion: MDCT coronary angiography is an examination that can be used as a non-invasive method for patients in the low and medium risk group for coronary artery disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of Multi-Detector Computed Tomography Coronary Angiography with Invasive Coronary Angiography in Patients with Coronary Artery Disease

Şahin

Görmeli²,

Dağ

et al. 2021

Medical Records

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“…5 , 6 Invasive coronary angiography provides high spatial and temporal resolution for imaging of the coronary artery tree for catheter-based or surgical treatments, but it is an invasive and costly procedure and was linked to a small but significant incidence of morbidity (1.5%) and mortality (0.15%). 7 , 8 As a result, for most patients with and at risk of coronary artery stenosis, a simple, non-invasive alternative technique for coronary angiography can bring considerable significant clinical and economic benefits. 9 The field of noninvasive cardiac imaging is rapidly evolving.…”

Section: Introductionmentioning

confidence: 99%

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

Khan,

Ghaffar,

Muhammad Adil

et al. 2023

Pak J Med Sci

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Objective: The objective of this study was to determine the diagnostic value of stress perfusion CMR for the detection of coronary artery disease. Methods: The was a retrospective cross sectional study in which 43 subjects were included from Cardiac MRI unit in the Hayatabad Medical Complex, Peshawar for study from 1st April 2020 to 30th November 2020. All the subjects who had been referred for stress perfusion CMR with suspected CAD were included in the study. Cardiac MRI both at rest and with adenosine stress perfusion was performed which was followed by invasive coronary angiography. Result: A total of 43 patients were enrolled for the detection or exclusion CAD who underwent stress perfusion CMRI and invasive coronary artery angiography. The study revealed strong and statistically significant association between positive stress perfusion CMR and positive coronary angiogram vs negative stress perfusion CMR and negative coronary angiogram (p= value 0.0001). Conclusions: Stress perfusion CMRI can be considered as a first line, relatively safe, noninvasive test with significant accuracy to diagnose coronary artery disease in patients with suspected CAD without subjecting these patients to invasive coronary angiogram Abbreviations:CMR: Cardiac magnetic resonance imaging, CAD: Coronary artery disease, FFR: Free Fractional Reserve, MACE: Major Adverse Cardiovascular Events. doi: https://doi.org/10.12669/pjms.39.6.8008 How to cite this: Khan SB, Ghaffar R, Adil M, Jan MU. Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis. Pak J Med Sci. 2023;39(6):---------. doi: https://doi.org/10.12669/pjms.39.6.8008 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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2022 use of coronary computed tomographic angiography for patients presenting with acute chest pain to the emergency department: An expert consensus document of the Society of cardiovascular computed tomography (SCCT)

Maroules¹,

Rybicki

Ghoshhajra

et al. 2023

Journal of Cardiovascular Computed Tomography

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Imaging Features of Complications after Coronary Interventions and Surgical Procedures

Cited by 13 publications

References 82 publications

Comparison of Multi-Detector Computed Tomography Coronary Angiography with Invasive Coronary Angiography in Patients with Coronary Artery Disease

Comparison of Multi-Detector Computed Tomography Coronary Angiography with Invasive Coronary Angiography in Patients with Coronary Artery Disease

Association between contrast-enhanced adenosine-stress perfusion cardiac magnetic resonance imaging and invasive coronary angiogram for the detection of coronary artery disease: A retrospective analysis

2022 use of coronary computed tomographic angiography for patients presenting with acute chest pain to the emergency department: An expert consensus document of the Society of cardiovascular computed tomography (SCCT)

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