ROLE OF ELECTROCARDIOGRAPHICALLY GATED MULTIDETECTORS COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF CORONARY ARTERIES CONGENITAL ANOMALIES
Ebtisam Mohamed elgendy;
Abstract
he prevalence of coronary ar¬tery anomalies is 1% to 2% in the general population. The clinical presentation is variable and the abnormal¬ity may remain clinically occult or it can have life-threatening consequences. Even if the anomalies are asymptomatic, knowledge of their presence is important at cardiac surgery to avoid inadvertent damage to a vessel with an anomalous course (Maryam G, 2011).
Various imaging modalities are available for coronary artery assess¬ment. Traditionally, catheter angiog¬raphy has been used to evaluate the coronary arteries and their anomalies; however, it is an invasive technique, and the exact course of the coronaries can sometimes be difficult to determine precisely. This is because angiography provides a 2-dimensional depiction of coronary anatomy and relies on a lim¬ited number of imaging planes, in con¬trast to cardiac computed tomography (CCT), which is noninvasive and has multiplanar capability. In addition, the acquired imaging data can be post-processed and viewed in any desired plane (Prachi P, et al June 2011).
This cross sectional study selected patients suspected to have coronary anomalies or proved to have coronary anomalies. In radiology department in Chest Disease Hospital, Ministry of health Kuwait.
Thirty patients were included in this study, 19 males (63.33%) and 11 females (36.67%, age ranging from 16 to 71 years old; mean age 55.8y who underwent CT coronary angiography using 16 channel MSCT 64 HD (high definition; GE health care) machine between Jan 2011 to Dec 2013. We are using prospective method.
Criteria of patients selected for the study:
• Patients suspected or proved (by imaging or operative details) to have congenital anomalies in coronary vessels. Patients should be older than twelve years old.
• Patients with impaired renal function are excluded.
Study procedure done as work up for these patients as follows:
1- Full clinical and family history were taken from each patient.
2- Renal function was done.
3- CT coronary angiography.
Various imaging modalities are available for coronary artery assess¬ment. Traditionally, catheter angiog¬raphy has been used to evaluate the coronary arteries and their anomalies; however, it is an invasive technique, and the exact course of the coronaries can sometimes be difficult to determine precisely. This is because angiography provides a 2-dimensional depiction of coronary anatomy and relies on a lim¬ited number of imaging planes, in con¬trast to cardiac computed tomography (CCT), which is noninvasive and has multiplanar capability. In addition, the acquired imaging data can be post-processed and viewed in any desired plane (Prachi P, et al June 2011).
This cross sectional study selected patients suspected to have coronary anomalies or proved to have coronary anomalies. In radiology department in Chest Disease Hospital, Ministry of health Kuwait.
Thirty patients were included in this study, 19 males (63.33%) and 11 females (36.67%, age ranging from 16 to 71 years old; mean age 55.8y who underwent CT coronary angiography using 16 channel MSCT 64 HD (high definition; GE health care) machine between Jan 2011 to Dec 2013. We are using prospective method.
Criteria of patients selected for the study:
• Patients suspected or proved (by imaging or operative details) to have congenital anomalies in coronary vessels. Patients should be older than twelve years old.
• Patients with impaired renal function are excluded.
Study procedure done as work up for these patients as follows:
1- Full clinical and family history were taken from each patient.
2- Renal function was done.
3- CT coronary angiography.
Other data
| Title | ROLE OF ELECTROCARDIOGRAPHICALLY GATED MULTIDETECTORS COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF CORONARY ARTERIES CONGENITAL ANOMALIES | Other Titles | دور التصوير بالأشعه المقطعية (متعددة الكواشف) من خلال رسام القلب الكهربائي في تشخيص العيوب الخلقية في الشرايين التاجية | Authors | Ebtisam Mohamed elgendy | Issue Date | 2014 |
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