Abstract
In patients with a low or intermediate probability of a coronary artery disease, ultrafast computer tomography (CT) of the coronary arteries and bypass grafts offer a novel approach for the evaluation of the coronary anatomy. The presented case impressively demonstrated the capability of ultrafast CT to show precisely the extent and localisation of a bypass artery stenosis in a patient with mild chest discomfort but negative stress testing. However, widespread screening of coronary artery disease with non-invasive imaging modalities can not be recommended until validated in larger studies that a complete visualization of all coronary arteries and bypass grafts can be achieved.
Similar content being viewed by others
Abbreviations
- CT:
-
computed tomography
- EBT:
-
electrobeam tomography
- MR:
-
magnetic resonsance imaging
- MSCT:
-
multisclice computed tomography
References
S Achenbach (2003) ArticleTitleKlinischer Stellenwert der Cardio-CT – Koronarangiographie Herz 28 119–125 Occurrence Handle10.1007/s00059-003-2442-7 Occurrence Handle12669225
W Hueb PR Soares BJ Gersh LA Cesar PL Luz LB Puig EM Martinez SA Oliveira JA Ramires (2004) ArticleTitleThe medicine, angioplasty, or surgery study (MASS II): a randomized, controlled clinical trial of three therapeutic strategies for multivessel coronary disease: one-year results J Am Coll Cardiol 43 1743–1751 Occurrence Handle10.1016/j.jacc.2003.08.065 Occurrence Handle15145093
AJ Solomon BJ Gersh (1998) ArticleTitleManagement of chronic stable angina: medical therapy, percutaneous transluminal coronary angioplasty, and coronary artery bypass surgery. Lessons from the randomized trials Ann Intern Med 128 216–223 Occurrence Handle9454530
SE Nissen EM Tuzcu P Schoenhagen BG Brown P Ganz RA Vogel T Crowe G Howard CJ Cooper B Brodie CL Grines AN DeMaria (2004) ArticleTitleEffect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial”> JAMA 291 1071–1080 Occurrence Handle14996776
CP Cannon E Braunwlad McCabe DJ Rader JL Rouleau R Belder SV Joyal KA Hill MA Pfeffer AM Skene (2004) ArticleTitleIntensive versus lipid lowering with statins after acute coronary syndromes N Engl J Med 350 1495–1504 Occurrence Handle15007110
K Niemann M Oudkerk BJ Rensing P van ParticleOoijen P A Munne RJ van ParticleGeuns PJ Feyter Particlede (2001) ArticleTitleCoronary angiography with multi-sclice computed tomography Lancet 357 599–603 Occurrence Handle11558487
D Ropers S Ulzheimer E Wenkel U Baum T Giesler H Derlin W Moshage WA Bautz WG Daniel WA Kalendar S Achenbach (2001) ArticleTitleInvestigation of aortocoronary artery bypass grafts by multisclice spiral computed tomography with electrocardiographic-gated image reconstruction Am J Cardiol 88 792–795 Occurrence Handle11589852
BJ Rensing A Bongaerts RJ Geuns Particlevan P Ooijen Particlevan M Oudkerk PJ Feyter Particlede (1998) ArticleTitleIntravenous coronary angiography by electrobeam computed tomography: a clinical evaluation Circulation 98 IssueID23 2509–2512 Occurrence Handle9843455
PG Danias TH Hauser G Katsimaglis RM Botnar WJ Manning (2003) ArticleTitleCoronary magnetic resonance angiography Herz 28 90–98 Occurrence Handle10.1007/s00059-003-2457-0 Occurrence Handle12669222
AE Ikonen HI Manninen P Vainio TP Hirvonen RL Vanninen PJ Matsi E Hartikainen (2000) ArticleTitleRepeated 3D coronary angiography with navigator echo gating: technical quality and consistency of image interpretation J Comput Assist Tomogr 24 375–381 Occurrence Handle10.1097/00004728-200005000-00004 Occurrence Handle10864071
Y Sato N Matsumoto M Kato F Inoue T Horie J Kusama A Yoshimura T Imazeki T Fuki S Furuhashi M Takahashi K Kanmatsuse (2003) ArticleTitleNoninvasive assessment of coronary artery disease by multisclice spiral computed tomography using a new retrospectively ECG-gated image reconstruction technique Circulation 67 IssueID5 401–405 Occurrence Handle10.1253/circj.67.401
T Schlosser T Konorza P Hunold H Kühl A Schmermund J Barkhausen (2003) ArticleTitleNoninvasive visualization of coronary artery bypass grafts using 16-detector row computed tomography JACC 44 1224–1229
A Kuettner T Trabold S Schroeder A feyer T Beck A Brueckner M Heuschmid C Burgstahler AF Kopp CD Claussen (2004) ArticleTitleNoninvasive detection of coronary lesions using 16-detector multislice spiral computed tomography technology: initial clinical results JACC 44 1238–1240 Occurrence Handle15364325
P Schoenhagen EM Tuzcu AE Stillman DJ Moliterno SS Halliburton SA Kuzmiak JM Kaspar WA Magyar ML Lieber SE Nissen RD White (2003) ArticleTitleNon-invasive assessment of plaque morphology and remodelling in midly stenotic coronary segments: comparison of 16-sclice computed tomography and intravascular ultrasound Coron Artery Dis 14 459–462 Occurrence Handle12966267
F Moselewski D Ropers K Pohle U Hoffmann M Frencik RC Chan S Abbara IK Jang TJ Brady WG Daniel S Achenbach (2004) ArticleTitleComparison of measurement of cross-sectional coronary atherosclerotic plaque and vessel areas by 16-slice multidetector computed tomography versus intravascular ultrasound Am J Cardiol 94 1294–1297 Occurrence Handle10.1016/j.amjcard.2004.07.117 Occurrence Handle15541250
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Franzen, D., Stamm, I., Bauriedel, G. et al. Non-invasive Imaging of a Coronary Bypass Stenosis using CT Angiography in a Patient with Negative Stress Testing. Int J Cardiovasc Imaging 21, 549–554 (2005). https://doi.org/10.1007/s10554-005-1579-2
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10554-005-1579-2