Kawasaki disease: role of coronary CT angiography

Aggarwala, Gaurav; Iyengar, Nikhil; Burke, Steven J.; Beek, Edwin Jacques Rudolph van; Thompson, Brad; Law, Ian H.; Jagasia, Dinesh

doi:10.1007/s10554-006-9110-y

Cited by 17 publications

(6 citation statements)

References 6 publications

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“…More widely available are computed tomographic angiography (CTA) and cardiac catheterization, but both are associated with substantial radiation. [59][60][61][62][63] (Fig.4) Coronary artery interventions including angioplasty, stent deployment, and rotational atherectomy [64][65][66][67] and surgical interventions including internal thoracic artery bypass grafting and cardiac transplantation are all procedures that have a role in the management of adult patients who suffered cardiovascular damage from KD in childhood. [68][69][70][71] The optimal management strategies for adult patients after KD are still under study and the cardiovascular outcome for this patient population remains uncertain.…”

Section: New Concepts In Long-term Outcomementioning

confidence: 99%

Kawasaki Disease update

Burns

2009

Indian J Pediatr

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Kawasaki Disease is rapidly becoming the most common cause of acquired heart disease in children in both the developed and developing world. Its etiology remains a mystery but important progress has been made in characterizing the features of the arterial wall and myocardial pathology and long-term clinical consequences. New treatments aimed at modifying the host immune response are currently under study. The genetic influence on susceptibility and disease outcome is an area of active research.

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Section: New Concepts In Long-term Outcomementioning

confidence: 99%

Kawasaki Disease update

Burns

2009

Indian J Pediatr

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“…CT angiography provides a viable alternative as a noninvasive imaging modality for sequential follow-up of patients with KD [40]. Compared with US, CT angiography shows excellent agreement for diameter and length of aneurysms, and it is more sensitive for detecting aneurysms at distal coronary segments and small fusiform aneurysms.…”

Section: Kawasaki Diseasementioning

confidence: 99%

Imaging studies in the diagnosis and management of vasculitis

Amezcua-Guerra

Pineda

2007

Curr Rheumatol Rep

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The term vasculitis encompasses a number of distinct clinicopathologic disease entities. Final diagnosis should be supported by histologic study in most cases. However, different imaging modalities offer the potential for an early visualization of inflammatory vascular abnormalities, provide some diagnostic clues, and allow for an adequate assessment of therapeutic response. This review discusses recent advances in imaging techniques and refinements in vascular imaging methods, as well as a brief mention of research modalities that are increasingly used in studies of pathogenesis or in the assessment of disease progression.

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“…Although, echocardiography can be used to assess proximal coronary arterial aneurysms, cardiac catheterization with coronary angiography is considered the gold standard [ 2 , 3 ]. However, the recent advances in multi-slice CT technology have made it possible to noninvasively diagnose and sequentially follow up patients with KD who have coronary artery aneurysms [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Kawasaki Disease: Diagnosis and Follow-Up by CT Coronary Angiography with the Use of 128-Slice Dual Source Dual Energy Scanner. A Case Report

et al. 2015

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SummaryBackgroundKawasaki Disease (KD) is a rare acute febrile illness due to multi-organ vasculitis. It most often affects children under five years of age. Coronary artery aneurysms are seen in about 25% of children with KD. Selective invasive coronary angiography was considered to be the gold standard for diagnosis and follow-up of coronary artery aneurysms, thrombosis and stenosis in patients with KD. Echocardiography is a non-invasive tool for imaging of this condition but it does have some limitations. Recently, a high-quality multislice CT coronary angiography has been advocated in the diagnosis of KD.Case ReportWe report a case of a 5-year-old boy who was diagnosed with Kawasaki disease and followed up by CT coronary angiography, which provided required excellent imaging findings in the terms of the number, size and location of coronary aneurysms.ConclusionsBased on imaging results of our case it can be stated that high-quality CT coronary angiography with the use of multi-slice dual source ultra-fast scanner can be considered a better and safer non-invasive diagnostic tool, an alternative to invasive catheter selective coronary angiography in the diagnosis and long-term follow-up of patients with KD, especially when echocardiographic images are limited or technically challenging.

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Kawasaki disease: role of coronary CT angiography

Cited by 17 publications

References 6 publications

Kawasaki Disease update

Kawasaki Disease update

Imaging studies in the diagnosis and management of vasculitis

Kawasaki Disease: Diagnosis and Follow-Up by CT Coronary Angiography with the Use of 128-Slice Dual Source Dual Energy Scanner. A Case Report

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