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Scanner multicoupe : relation entre la morphologie des artères coronaires et la fonction myocardique

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Imagerie en coupes du cœur et des vaisseaux
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Résumé

La maladie coronaire athéromateuse se manifeste par une atteinte diffuse des vaisseaux coronaires avec des lésions plus ou moins sténosantes responsables de tableaux cliniques variés. Il est alors indispensable d’identifier et de quantifier ces lésions sur l’ensemble du réseau épicardique. Ce bilan nécessite, en raison du petit diamètre et de la mobilité de ces artères sinueuses, une bonne résolution temporelle et spatiale que possède la coronarographie conventionnelle. De plus, elle peut être suivie d’un geste thérapeutique d’angioplastie. Cependant, plus d’un tiers des coronarographies sont normales ou non suivi d’un geste d’angioplastie, ce qui ouvre une place pour un examen non invasif à la résolution spatiale et temporelle suffisante.

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Références

  1. Vanhoenacker PK, Heijenbrok-Kal MH, Van HR et al. (2007) Diagnostic performance of multidetector CT angiography for assessment of coronary artery disease: meta-analysis. Radiology 244: 419–428

    Article  PubMed  Google Scholar 

  2. Hoffmann U, Moselewski F, Cury MC et al. (2004) Predictive value of 16-slice multidetector spiral computed tomography to detect significant obstructive coronary artery disease. Circulation 110: 2638–2643

    Article  PubMed  Google Scholar 

  3. Mowatt G, Cook JA, Hillis GS, Walker S, Fraser C, Jia X, Waugh N (2008) 64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis. Heart 94: 1386–1393

    Article  PubMed  CAS  Google Scholar 

  4. Budoff MJ, Dowe D, Jollis JG et al. (2008) Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol 52: 1724–1732

    Article  PubMed  Google Scholar 

  5. Miller JM, Rochitte CE, Dewey M et al. (2008) Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med 359: 2324–2336

    Article  PubMed  CAS  Google Scholar 

  6. Meijboom WB, Meijs MF, Schuijf JD et al. (2008) Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study. J Am Coll Cardiol 52: 2135–2144

    Article  PubMed  Google Scholar 

  7. Marano R, De Cobelli F, Floriani I et al.; NIMISCAD Study Group (2009) Italian multicenter, prospective study to evaluate the negative predictive value of 16-and 64-slice MDCT imaging in patients scheduled for coronary angiography (NIMISCADNon Invasive Multicenter Italian Study for Coronary Artery Disease). Eur Radiol 19: 1114–1123

    Article  PubMed  Google Scholar 

  8. Alkadhi H, Scheffel H, Desbiolles L et al. (2008) Dual-source computed tomography coronary angiography: influence of obesity, calcium load, and heart rate on diagnostic accuracy. Eur Heart J 29: 766–776

    Article  PubMed  Google Scholar 

  9. Rybicki FJ, Otero HJ, Steigner ML et al. (2008) Initial evaluation of coronary images from 320-detector row computed tomography. Int J Cardiovasc Imaging 24: 535–546

    Article  PubMed  Google Scholar 

  10. Steigner ML, Otero HJ, Cai T et al. (2009) Narrowing the phase window width in prospectively ECG-gated single heart beat 320-detector row coronary CT angiography. Int J Cardiovasc Imaging 25: 85–90

    Article  PubMed  Google Scholar 

  11. Meijboom WB, van Mieghem CA, Mollet NR et al. (2007) 64-Slice computed tomography coronary angiography in patients with high, intermediate, or low pretest probability of significant coronary artery disease. J Am Coll Cardiol 50: 1469–1475

    Article  PubMed  Google Scholar 

  12. Tonino PAL, de Bruyne B, Pijls NHJ et al. (2009) Fractional flow reserve versus angiography for guiding percutaneous coronary intervention. New Engl J Med 360: 213–224

    Article  PubMed  CAS  Google Scholar 

  13. Wijns W, Kolh P, Danchin N et al. (2010) Guidelines on myocardial revascularization. The task force on myocardial revascularization of the European society of cardiology and the European association for cardio-thoracic surgery. Eur Heart J 20: 2501–2555

    Google Scholar 

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© 2011 Springer-Verlag France, Paris

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Gilard, M., Boschat, J. (2011). Scanner multicoupe : relation entre la morphologie des artères coronaires et la fonction myocardique. In: Imagerie en coupes du cœur et des vaisseaux. Springer, Paris. https://doi.org/10.1007/978-2-8178-0212-1_18

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  • DOI: https://doi.org/10.1007/978-2-8178-0212-1_18

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0211-4

  • Online ISBN: 978-2-8178-0212-1

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