Pericardial Fat is a Risk Factor for Severe Coronary Artery Stenosis in Young People: A Study with 256-Slice Computed Tomography

2017 ◽  
Vol 7 (2) ◽  
pp. 430-435
Author(s):  
Cai-Ying Li ◽  
Bu-Lang Gao ◽  
Qi-Bin Liao ◽  
Tong Pan ◽  
Dan Zhang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Risk Factor ◽  
Coronary Artery ◽  
Young People ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Pericardial Fat ◽  
Severe Coronary Artery

scholarly journals Prevalence of pathological FFRCT values without coronary artery stenosis in an asymptomatic marathon runner cohort

2021 ◽  
Author(s):  
Sebastian Gassenmaier ◽  
Ilias Tsiflikas ◽  
Simon Greulich ◽  
Jens Kuebler ◽  
Florian Hagen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Fractional Flow ◽  
Marathon Runners ◽  
Coronary Artery Segment ◽  
Relevance Evaluation ◽  
Artery Segment ◽  
Distal Vessel

Abstract Objectives To evaluate computed tomography fractional flow reserve (FFRCT) values in distal parts of the coronaries in an asymptomatic cohort of marathon runners without any coronary stenosis for potentially false-positive values. Methods Ninety-eight asymptomatic male marathon runners (age 53 ± 7 years) were enrolled in a prospective monocentric study and underwent coronary computed tomography angiography (CCTA). CCTA data were analyzed for visual coronary artery stenosis. FFRCT was evaluated in 59 participants without coronary artery stenosis in proximal, mid, and distal coronary sections using an on-site software prototype. Results In participants without coronary artery stenosis, abnormal FFRCT values ≤ 0.8 in distal segments were found in 22 participants (37%); in 19 participants in the LAD; in 5 participants in the LCX; and in 4 participants in the RCA. Vessel diameters in participants with FFRCT values > 0.80 compared to ≤ 0.80 were 1.6 ± 0.3 mm versus 1.5 ± 0.3 mm for distal LAD (p = 0.025), 1.8 ± 0.3 mm versus 1.6 ± 0.5 mm for distal LCX (p = 0.183), and 2.0 ± 0.4 mm versus 1.5 ± 0.2 mm for distal RCA (p < 0.001). Conclusions Abnormal FFRCT values of ≤ 0.8 frequently occurred in distal coronary segments in subjects without any anatomical coronary artery stenosis. This effect is only to some degree explainable by small distal vessel diameters. Therefore, the validity of hemodynamic relevance evaluation using FFRCT in distal coronary artery segment stenosis is reduced. Key Points • Abnormal FFRCT values (≤ 0.8) occurred in over a third of the subjects in the distal LAD despite the absence of coronary artery stenosis.. • Therefore, the validity of hemodynamic relevance evaluation in distal coronary artery segment stenosis is reduced. • Decision-making based on abnormal FFRCT values in distal vessel sections should be performed with caution and only in combination with visual assessment of the grade of stenosis..

scholarly journals Shear-induced platelet aggregation increases in patients with proximal and severe coronary artery stenosis

2002 ◽  
Vol 25 (4) ◽  
pp. 154-160 ◽  
Author(s):  
Koichi Kawano ◽  
Hideaki Yoshino ◽  
Nobuo Aoki ◽  
Hiroshi Udagawa ◽  
Atsushi Watanuki ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Platelet Aggregation ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Severe Coronary Artery

PP-007 Diffuse Coronary Spasm Mimicking the Severe Coronary Artery Stenosis to Rule out with Intravascular Ultrasound

2015 ◽  
Vol 115 ◽  
pp. S97
Author(s):  
Cengiz Ozturk ◽  
Mustafa Aparci ◽  
Ali Osman Yıldırım ◽  
Sait Demirkol ◽  
Murat Unlu ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Intravascular Ultrasound ◽  
Coronary Artery Stenosis ◽  
Coronary Spasm ◽  
Artery Stenosis ◽  
Severe Coronary Artery ◽  
Rule Out

Abstract 2941: Combined Assessment of Coronary Artery Stenosis and Myocardial Ischemia by Rest-Dipyridamole Stress Multidetector Computed Tomography

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Patricia M Carrascosa ◽  
Carlos Capuñay ◽  
Jorge Carrascosa ◽  
Alejandro Deviggiano ◽  
Alejandro Goldsmit ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Myocardial Ischemia ◽  
Contrast Enhancement ◽  
Coronary Artery Stenosis ◽  
Artery Stenosis ◽  
Artery Disease ◽  
Mdct Coronary Angiography ◽  
Dipyridamole Stress

Introduction: MDCT coronary angiography has been evolving as a noninvasive method for the assessment of coronary artery disease (CAD). More recently, It has been demonstrated that MDCT identifies reduced contrast enhancement in ischemic and/or scarred myocardial segments. Objective: to determine the ability of rest-stress multidetector computed tomography (RS-MDCT) to detect myocardial ischemia and to assess the relationship between MDCT myocardial perfusion abnormalities and coronary artery stenosis. Methods: Forty seven patients underwent stress/rest 99mTc sestamibi SPECT and RS-MDCT, using a 16-row detector scanner (Philips Brilliance-16). Myocardial segments were classified by SPECT as normal, ischemic or scarred. SPECT results were then compared with MDCT regional myocardial contrast enhancement. The results of MDCT coronary angiography were also analyzed in 20 patients who underwent invasive catheterization. Results: The presence of a reduction in contrast enhancement at rest by MDCT identified scar by SPECT with 96% sensitivity and 98% specificity. A stress-induced reduction in contrast enhancement by MDCT identified ischemia by SPECT with 77% sensitivity and 99% specificity. The segment-based sensitivity and specificity for the detection of significant stenosis by MDCT were 92% and 98%, respectively. Conclusion: Our results showed that a rest-dipyridamole stress MDCT protocol can identify the presence of myocardial ischemia as well as the severity of coronary artery stenosis in patients with suspected coronary artery disease.

Abstract 5799: Fine-Cell Detector Computed Tomography with 0.3mm-Collimation Improves Quantitative Assessment of Coronary Artery Stenosis: Experimental Study with Coronary Phantom

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Minoru yamada ◽  
Masahiro Jinzaki ◽  
Kozo Sato ◽  
Yutaka Tanami ◽  
Akihisa Ueno ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Focal Spot ◽  
Coronary Artery Stenosis ◽  
Hounsfield Unit ◽  
Acrylonitrile Butadiene Styrene ◽  
Artery Stenosis ◽  
Data Sets ◽  
Water Tank ◽  
X Ray

The purpose of this study was to evaluate whether the prototype fine-cell detector computed tomography (FDCT) could improve smaller coronary artery stenosis measurement compared with 64-slice multidetector-row CT (MDCT). Method and Materials: We developed coronary phantoms of 2mm in diameter with 0%, 25%, 50%, 75% stenosis. Each stenotic part was made by Acrylonitrile-Butadiene-Styrene (ABS: 50 Hounsfield Unit (HU)) and lumen was filled with diluted iodine (380 HU). These coronary phantoms put into the water tank were scanned by both prototype FDCT and 64-slice MDCT. Configuration of FDCT was 32-row*0.3125mm detector collimation with 0.35mm smaller X-ray tube focal spot width, and that of 64-slice MDCT was 16-row*0.625mm detector collimation and 0.7mm X-ray focal spot. All axial images were reconstructed using Standard kernel with 96mm display field-of-view. Minimum lumen diameter and degree of stenosis in these data sets were automatically measured using the Vessel Analysis software (GE Healthcare). Results: Measured coronary lumen at 0%, 25%, 50%, 75% stenosis of 2mm-diameter phantom (corresponding to 2.0mm, 1.5mm, 1.0mm, 0.5mm) were 2.2mm, 1.8mm, 1.4mm, 0.7mm in FDCT, whereas those were 2.5mm, 2.0mm, 1.5mm, 1.4mm in 64-slice MDCT, respectively. Each degree of stenosis was calculated 21%, 38%, 69% in FDCT, while 20%, 38%, 44% in 64-slice MDCT. Measured value of 75% stenosis in FDCT was significantly improved compared with 64-slice MDCT. Conclusion: FDCT improves the accuracy of smaller coronary artery stenosis measurement compared with 64-slice MDCT. Superior spatial resolution of FDCT could be promising for more accurate assessment of the coronary artery stenosis.

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