Coronary CT Angiography to Guide Percutaneous Coronary Intervention

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Georgios Tzimas ◽  
Gaurav S. Gulsin ◽  
Hidenobu Takagi ◽  
Niya Mileva ◽  
Jeroen Sonck ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Coronary Intervention ◽  
Coronary Ct ◽  
Percutaneous Coronary

scholarly journals Coronary CT Angiography untuk deteksi plak rapuh, sebagai bagian dari usaha pencegahan Sindrom Koroner Akut

2015 ◽  
pp. 59-64
Author(s):  
Sonny Hilal Wicaksono
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Early Detection ◽  
Ct Angiography ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Ct Angiography ◽  
Coronary Intervention ◽  
Coronary Ct ◽  
Percutaneous Coronary ◽  
St Elevation

Tindakan Primary Percutaneous Coronary Intervention (PPCI) untuk pasien sindrom koroner akut (SKA) dengan ST elevasi (STEMI=ST elevation myocardial infarction) telah berjasa banyak dalam menurunkan mortalitas. Namun kerusakan jaringan miokard pasca PPCI tetap terjadi, akibat iskemia yang telah berlangsung sebelum reperfusi berhasil, atau kerusakan jaringan miokard akibat cedera reperfusi. Hal tersebut menimbulkan konsekuensi morbiditas akibat SKA berupa gagal jantung. Sehingga dikhawatirkan bila SKA tidak dicegah, di masa yang akan datang akan timbul epidemi gagal jantung. Oleh sebab itu strategi pencegahan terjadinya SKA perlu menjadi pengetahuan dasar bagi seluruh dokter spesialis jantung dan pembuluh darah (SpJP) agar epidemi gagal jantung dapat dicegah.Strategi pencegahan SKA tetap memegang 5 prinsip:1. Health Promotion2. Primary Prevention3. Early Detection and Prompt Treatment4. Secondary Prevention5. RehabilitationPoin pertama dan kedua dilakukan langsung ke tengah masyarakat di luar klinik atau rumah sakit, mulai dari poin ke-tiga, yaitu deteksi dini, dilakukan dalam praktek klinik.

scholarly journals Potential Predictors of Side-Branch Occlusion in Bifurcation Lesions after Percutaneous Coronary Intervention: A Coronary CT Angiography Study

Radiology ◽  
2014 ◽  
Vol 271 (3) ◽  
pp. 711-720 ◽  
Author(s):  
Jin Joo Park ◽  
Eun Ju Chun ◽  
Young-Seok Cho ◽  
Il-Young Oh ◽  
Chang-Hwan Yoon ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Coronary Intervention ◽  
Side Branch ◽  
Coronary Ct ◽  
Percutaneous Coronary ◽  
Bifurcation Lesions

scholarly journals Symptomatic Coronary-Pulmonary Fistula Revealed with Coronary CT Angiography

2017 ◽  
Vol 3 (2) ◽  
pp. 89-92
Author(s):  
Sára Papp ◽  
István Ferenc Édes ◽  
Béla Merkely ◽  
Pál Maurovich-Horvat ◽  
Mihály Károlyi
Keyword(s):  
Ct Angiography ◽  
Incidental Findings ◽  
Coronary Ct Angiography ◽  
Clinical Symptoms ◽  
Coronary Intervention ◽  
Coronary Anomalies ◽  
Case Presentation ◽  
Coronary Ct ◽  
Percutaneous Coronary ◽  
Coronary Artery Fistulas

Abstract Introduction: Coronary artery fistulas are usually incidental findings and rarely cause any clinical symptoms. Case presentation: In this case a coronary pulmonary fistula was revealed by coronary CT angiography and as it was considered responsible for the patients’ symptoms, its’ closure was performed during percutaneous coronary intervention. Conclusion: The noninvasive coronary CT angiography is a valuable examination in the diagnosis of coronary anomalies.

scholarly journals SYNTAX Score Derived From Coronary CT Angiography for Prediction of Complex Percutaneous Coronary Interventions

2016 ◽  
Vol 23 (11) ◽  
pp. 1384-1392 ◽  
Author(s):  
Aryeh Shalev ◽  
Ryo Nakazato ◽  
Reza Arsanjani ◽  
Rine Nakanishi ◽  
Hyung-Bok Park ◽  
...  
Keyword(s):  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Syntax Score ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Coronary Ct ◽  
Percutaneous Coronary

Quantification of calcium volume by coronary CT compared to OCT

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
G Monizzi ◽  
J Sonck ◽  
S Nagumo ◽  
D Buytaert ◽  
L Van Hoe ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Standard Of Care ◽  
Coronary Intervention ◽  
Systematic Difference ◽  
Three Dimensions ◽  
Non Invasive ◽  
Coronary Ct ◽  
Procedural Planning

Abstract Background Coronary artery calcifications are frequently observed in patients referred for cardiac catheterization. Using OCT, the calcified volume can be determined. CT is a sensitive non-invasive tool to detect coronary artery calcifications and may be useful to guide percutaneous coronary intervention. Purpose The aim of the study was to investigate the accuracy of CT-derived calcium volume with OCT as a reference in patients undergoing PCI. Methods 66 calcified plaques (32 vessels) from 31 patients undergoing OCT-guided PCI with coronary CT angiography acquired as a standard of care were included. Coronary CT angiography and OCT images were matched using fiduciary points. Calcified plaques were reconstructed in three dimensions to calculate calcium volume. A Passing-Bablok regression analysis and the Bland-Altman method were used to assess agreement between imaging modalities. Results 27 left anterior descending arteries and 5 right coronary arteries were analyzed. Median calcium volume by CT angiography and OCT were 18.23 mm 3 [IQR 8.09, 36.48] and 10.03 mm 3 [IQR 3.6, 22.88]. The Passing-Bablok analysis showed a proportional difference without a systematic difference (Coefficient A 0.08, 95% CI: −1.37 to 1.21, Coefficient B 1.61, 95% CI: 1.45 to 1.84); with a mean difference of 9.69 mm3 (LOA −10.2 mm 3 to 29.6 mm 3). No significant differences were observed for MLA: median value for CT 2.84 mm2 [IQR 2.03, 3.74] and for OCT 2.55 mm2 [IQR 1.91, 4.43]. Conclusions Coronary CT angiography volumetric calcium evaluation overestimates calcium volume by 60% compared to OCT. Accounting for CT overestimation may allow for appropriate interpretation of calcific burden in the non-invasive setting. Coronary CT angiography may emerge as a tool to quantify calcium burden for invasive procedural planning. Calcium burden comparison CT vs OCT Funding Acknowledgement Type of funding source: None

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