Abstract
Multidetector row computed tomography (MDCT) coronary angiography was performed using a 16-slice MDCT scanner in three children with coronary aneurysms due to Kawasaki disease. Patients were given a β-blocker. Following contrast injection, all data were acquired during a 20-second breathhold. Results were compared with those of conventional coronary angiography performed previously. MDCT provided clear visualization of coronary artery aneurysms, with coronary calcifications but which had not yet progressed to stenotic lesions. Because MDCT allows noninvasive detection and exclusion of coronary obstructions, it may be able to replace repeat conventional angiography as a follow-up study for children with coronary artery disease.
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References
S Achenbach T Giesler D Ropers et al. (2001) ArticleTitleDetection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically-gated, multislice spiral computed tomography. Circulation 103 2535–2538 Occurrence Handle1:STN:280:DC%2BD3M3pvFaisg%3D%3D Occurrence Handle11382719
S Achenbach S Ulzheimer U Baum et al. (2000) ArticleTitleNoninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation 102 2823–2828 Occurrence Handle1:STN:280:DC%2BD3M%2FpslSltA%3D%3D Occurrence Handle11104739
T Giesler U Baum D Ropers et al. (2002) ArticleTitleNoninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. Am J Roentgenol 179 911–916
GF Greil M Stuber RM Botnar et al. (2002) ArticleTitleCoronary magnetic resonance angiography in adolescents and young adults with Kawasaki disease. Circulation 105 908–911
S Hiraishi H Misawa N Takeda et al. (2000) ArticleTitleTransthoracic ultrasonic visualization of coronary aneurysm, stenosis, and occlusion in Kawasaki disease. Heart 83 400–405
WR Janowitz (2001) ArticleTitleCT imaging of coronary artery calcium as an indicator of atherosclerotic disease: an overview. J Thorac Imaging 16 2–7 Occurrence Handle10.1097/00005382-200101000-00002 Occurrence Handle1:STN:280:DC%2BD3M7ns1KktA%3D%3D Occurrence Handle11149689
A Knez CR Becker A Leber et al. (2001) ArticleTitleUsefulness of multislice spiral computed tomography angiography for determination of coronary artery stenoses. Am J Cardiol 88 1191–1194 Occurrence Handle1:STN:280:DC%2BD3MnltF2ktg%3D%3D Occurrence Handle11703970
K Nieman F Cademartiri PA Lemos et al. (2002) ArticleTitleReliable noninvasive coronary angiography with fast submillimeter multislice spiral computed tomography. Circulation 106 2051–2054
K Nieman M Oudkerk BJ Rensing et al. (2001) ArticleTitleCoronary angiography with multislice computed tomography. Lancet 357 599–603 Occurrence Handle1:STN:280:DC%2BD3MrhtV2mtw%3D%3D Occurrence Handle11558487
K Nieman BJ Rensing RJ van Geuns et al. (2002) ArticleTitleUsefulness of multislice computed tomography for detecting obstructive coronary artery disease. Am J Cardiol 89 913–918 Occurrence Handle10.1016/S0002-9149(02)02238-5 Occurrence Handle11950427
K Nieman BJ Rensing RJ van Geuns et al. (2002) ArticleTitleNon-invasive coronary angiography with multislice spiral tomography: impact of heart rate. Heart 88 470–474 Occurrence Handle10.1136/heart.88.5.470 Occurrence Handle1:STN:280:DC%2BD38nisVWntg%3D%3D Occurrence Handle12381635
D Ropers U Baum K Pohle et al. (2003) ArticleTitleDetection of coronary artery stenoses with thin-slice multidetector row spiral computed tomography and multiplanar reconstruction. Circulation 107 664–666
S Schroeder AF Kopp A Kuettner et al. (2002) ArticleTitleInfluence of heart rate on vessel visibility in noninvasive coronary angiography using new multislice computed tomography. Experience in 94 patients. Clin Imaging 26 106–111 Occurrence Handle10.1016/S0899-7071(01)00371-0 Occurrence Handle11852217
H Treede C Becker H Reichenspurner et al. (2002) ArticleTitleMultidetector computed tomography (MDCT) in coronary surgery: first experiences with a new tool for diagnosis of coronary artery disease. Ann Thorac Surg 74 S1398–S1402 Occurrence Handle10.1016/S0003-4975(02)04010-9 Occurrence Handle12400825
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Sohn, S., Kim, H. & Lee, S. Multidetector Row Computed Tomography for Follow-Up of Patients with Coronary Artery Aneurysms Due to Kawasaki Disease . Pediatr Cardiol 25, 35–39 (2004). https://doi.org/10.1007/s00246-003-0559-3
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DOI: https://doi.org/10.1007/s00246-003-0559-3