Low-dose coronary-CT angiography using step and shoot at any heart rate: comparison of image quality at systole for high heart rate and diastole for low heart rate with a 128-slice dual-source machine

Author(s):  
Jean-François Paul ◽  
Aude Amato ◽  
Adela Rohnean
2018 ◽  
Vol 28 (10) ◽  
pp. 1148-1153 ◽  
Author(s):  
Hirofumi Watanabe ◽  
Hiroshi Kamiyama ◽  
Masataka Kato ◽  
Akiko Komori ◽  
Yuriko Abe ◽  
...  

AbstractBackgroundThere is no standard dose or protocol for beta-blocker administration as preconditioning in children undergoing coronary CT angiography.MethodsA total of 63 consecutive patients, with a mean age of 10.0±3.1 years, who underwent coronary CT angiography to assess possible coronary complications were enrolled in a single-centre, retrospective study. All patients were given an oral beta-blocker 1 hour before coronary CT angiography. Additional oral beta-blocker or intravenous beta-blocker was given to those with a high heart rate. We compared image quality, radiation exposure, and adverse events among the patients without additional beta-blocker, with additional oral beta-blocker, and with additional intravenous beta-blocker.ResultsThere were no significant differences in image quality or radiation exposure among the groups. The heart rate just before scanning was significantly correlated with image quality (p<0.001, r=−0.533) but was not correlated with radiation exposure (p=0.45, r=0.096). There were no adverse events related to any allergic reaction, thereby showing the effectiveness of the beta-blocker.ConclusionInitial oral beta-blocker administration (0.8 mg/kg/dose) should be administered to all children undergoing coronary CT angiography. Additional intravenous beta-blocker should be given to those with poor heart rate control to improve image quality without increasing radiation exposure or allowing adverse events.


Radiology ◽  
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Vol 248 (3) ◽  
pp. 792-798 ◽  
Author(s):  
Annick C. Weustink ◽  
Nico R. Mollet ◽  
Francesca Pugliese ◽  
Willem B. Meijboom ◽  
Koen Nieman ◽  
...  

2014 ◽  
Vol 56 (11) ◽  
pp. 1308-1314 ◽  
Author(s):  
Seitaro Oda ◽  
Kazuhiro Katahira ◽  
Daisuke Utsunomiya ◽  
Hiroko Takaoka ◽  
Keiichi Honda ◽  
...  

2011 ◽  
Vol 21 (11) ◽  
pp. 2277-2284 ◽  
Author(s):  
D. Muenzel ◽  
P. B. Noel ◽  
F. Dorn ◽  
M. Dobritz ◽  
E. J. Rummeny ◽  
...  

2008 ◽  
Vol 2 (2) ◽  
pp. 105-114 ◽  
Author(s):  
Damini Dey ◽  
Cynthia J. Lee ◽  
Muneo Ohba ◽  
Ariel Gutstein ◽  
Piotr J. Slomka ◽  
...  

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