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Coronary Stents: Evaluation and Follow-up

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Atlas of Cardiovascular Computed Tomography

Abstract

The 2010 Expert Consensus Document on Coronary CT Angiography (CTA) states, “Coronary stents pose some significant technical challenges for coronary CTA, since the metal in the stents may create several types of artifacts in the images. Special algorithms are now routinely used that may reduce some of these artifacts during image reconstruction. The literature suggests that in patients who have large diameter stents, good image quality, and whose clinical presentation suggests low-to-intermediate probability for restenosis, 64-channel coronary CTA can be used to rule out severe in-stent restenosis” [1].

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References

  1. Mark DB, Berman DS, Budoff MJ, American College of Cardiology Foundation Task Force on Expert Consensus Documents, et al. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography. J Am Coll Cardiol. 2010;55:2663–99.

    Article  PubMed  Google Scholar 

  2. Andreini D, Pontone G, Mushtaq S, Pepi M, Bartorelli AL. Multidetector computed tomography coronary angiography for the assessment of coronary in-stent restenosis. Am J Cardiol. 2010;105:645–55.

    Article  PubMed  Google Scholar 

  3. Hecht HS, Polena S, Jelnin V, Jimenez M, Bhatti T, Parikh M, et al. Stent gap by 64-detector computed tomographic angiography: relationship to in-stent restenosis, fracture, and overlap failure. J Am Coll Cardiol. 2009;54:1949–59.

    Article  PubMed  Google Scholar 

  4. Garg S, Serruys PW. Coronary stents: current status. J Am Coll Cardiol. 2010;56:S1–42.

    Article  PubMed  CAS  Google Scholar 

  5. Garg S, Serruys PW. Coronary stents: looking forward. J Am Coll Cardiol. 2010;56:S43–78.

    Article  PubMed  CAS  Google Scholar 

  6. Hecht HS. A paradigm shift: coronary computed tomographic angiography before stress testing. Am J Cardiol. 2009;104:613–8.

    Article  PubMed  Google Scholar 

  7. Schuijf JD, Wijns W, Jukema JW, Atsma DE, de Roos A, Lamb HJ, et al. Relationship between noninvasive coronary angiography with multi-slice computed tomography and myocardial perfusion imaging. J Am Coll Cardiol. 2006;48:2508–14.

    Article  PubMed  Google Scholar 

  8. Ravipati G, Aronow WS, Lai H, Shao J, DeLuca AJ, Weiss MB, et al. Comparison of sensitivity, specificity, positive predictive value, and negative predictive value of stress testing versus 64-multislice coronary computed tomography angiography in predicting obstructive coronary artery disease diagnosed by coronary angiography. Am J Cardiol. 2008;101:774–5.

    Article  PubMed  Google Scholar 

  9. Schuijf JD, van Werkhoven JM, Pundziute G, Jukema JW, Decramer I, Stokkel MP, et al. Invasive versus noninvasive evaluation of coronary artery disease. JACC Cardiovasc Imaging. 2008;1:190–9.

    Article  PubMed  Google Scholar 

  10. Øvrehus KA, Jensen JK, Mickley HF, Munkholm H, Bøttcher M, Bøtker HE, Nørgaard BL. Comparison of usefulness of exercise testing versus coronary computed tomographic angiography for evaluation of patients suspected of having coronary artery disease. Am J Cardiol. 2010;105:773–9.

    Article  PubMed  Google Scholar 

  11. Nakazawa G, Finn AV, Vorpahl M, Ladich E, Kutys R, Balazs I, et al. Incidence and predictors of drug-eluting stent fracture in human coronary artery. A pathologic analysis. J Am Coll Cardiol. 2009;54:1924–31.

    Article  PubMed  Google Scholar 

  12. van Werkum JW, Heestermans AA, Zomer AC, Kelder JC, Suttorp MJ, Rensing BJ, et al. Predictors of coronary stent thrombosis: the Dutch Stent Thrombosis Registry. J Am Coll Cardiol. 2009;53:1399–409.

    Article  PubMed  Google Scholar 

  13. Wenaweser P, Daemen J, Zwahlen M, van Domburg R, Jüni P, Vaina S, et al. Incidence and correlates of drug-eluting stent thrombosis in routine clinical practice. 4-year results from a large 2-institutional cohort study. J Am Coll Cardiol. 2008;52:1134–40.

    Article  PubMed  CAS  Google Scholar 

  14. Sakurai R, Ako J, Morino Y, Sonoda S, Kaneda H, Terashima M, et al. Predictors of edge stenosis following sirolimus-eluting stent deployment (a quantitative intravascular ultrasound analysis from the SIRIUS trial). Am J Cardiol. 2005;96:1251–3.

    Article  CAS  PubMed  Google Scholar 

  15. Liu J, Maehara A, Mintz GS, Weissman NJ, Yu A, Wang H, et al. An integrated TAXUS IV, V, and VI intravascular ultrasound analysis of the predictors of edge restenosis after bare metal or paclitaxel-eluting stents. Am J Cardiol. 2009;103:501–6.

    Article  CAS  PubMed  Google Scholar 

  16. Kelbaek H, Thuesen L, Helqvist S, Kløvgaard L, Jørgensen E, Aljabbari S, et al. The stenting coronary arteries in non-stress/benestent disease (SCANDSTENT) trial. J Am Coll Cardiol. 2006;47:449–55.

    Article  PubMed  Google Scholar 

  17. Castagna MT, Mintz GS, Leiboff BO, Ahmed JM, Mehran R, Satler LF, et al. The contribution of “mechanical” problems to in-stent restenosis: an intravascular ultrasonographic analysis of 1090 consecutive in-stent restenosis lesions. Am Heart J. 2001;142:970–4.

    Article  PubMed  CAS  Google Scholar 

  18. Takebayashi H, Kobayashi Y, Mintz GS, Carlier SG, Fujii K, Yasuda T, et al. Intravascular ultrasound assessment of lesions with target vessel failure after sirolimus-eluting stent implantation. Am J Cardiol. 2005;95:498–502.

    Article  CAS  PubMed  Google Scholar 

  19. Cook S, Wenaweser P, Togni M, Billinger M, Morger C, Seiler C, et al. Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation. Circulation. 2007;115:2426–34.

    Article  CAS  PubMed  Google Scholar 

  20. Russo RJ, Silva PD, Teirstein PS, Attubato MJ, Davidson CJ, DeFranco AC, et al. A randomized controlled trial of angiography versus intravascular ultrasound-directed bare-metal coronary stent placement (the AVID trial). Circ Cardiovasc Interv. 2009;2:113–23.

    Article  PubMed  Google Scholar 

  21. Aoki J, Kirtane A, Leon MB, Dangas G. Coronary artery aneurysms after drug-eluting stent implantation. JACC Cardiovasc Interv. 2008;1:14–21.

    Article  PubMed  Google Scholar 

  22. Hecht HS, Gade C. Current and evolving stent evaluation by coronary computed tomographic angiography. Catheter Cardiovasc Interv. 2011;77:843–59.

    Article  PubMed  Google Scholar 

  23. Tsujita K, Maehara A, Mintz GS, Doi H, Kubo T, Castellanos C, et al. Impact of myocardial bridge on clinical outcome after coronary stent placement. Am J Cardiol. 2009;103:1344–8.

    Article  PubMed  Google Scholar 

  24. de Silva R, Mussap CJ, Hecht HS, van Mieghem NM, Matarazzo TJ, Roubin GS, Panagopoulos G. Stent sizing by coronary computed tomographic angiography: comparison with conventional coronary angiography in an experienced setting. Catheter Cardiovasc Interv. 2011;78:755–63.

    Article  PubMed  Google Scholar 

  25. Hecht HS. Applications of multislice coronary computed tomography to percutaneous coronary intervention: how did we ever do without it? Catheter Cardiovasc Interv. 2008;71:490–503.

    Article  PubMed  Google Scholar 

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Correspondence to Harvey S. Hecht .

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Hecht, H.S., Kini, A., Sharma, S. (2018). Coronary Stents: Evaluation and Follow-up. In: Budoff, M., Achenbach, S., Hecht, H., Narula, J. (eds) Atlas of Cardiovascular Computed Tomography. Springer, London. https://doi.org/10.1007/978-1-4471-7357-1_7

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  • DOI: https://doi.org/10.1007/978-1-4471-7357-1_7

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