Buradasınız

Koroner arter hastalıklarının belirlenmesinde 128 kesitli BT'nin değeri

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
Objective: The aim of the study, was to evaluate to potential clinical value of a new generation 128 multislice computed tomography (MSCT) system in the coronary artery disease (CAD) and anomalies. Method: Between June 2009 and April 2010, fourty consecutive patients with suspected CAD underwent coronary CTA by 128-MSCT. Technical parameters of coronary CTA were noted. Coronary artery stenosis and coronary artery anomalies were evaluated on both a per patient and a per segment basis. Results: Coronary CTA by 128-MSCT were performed with average 64±2.1 mL contrast media volume and 68 ± 11 beats per minutes heart rate. Coronary CTA showed stenosis in 47 segments of 22/40 patients. Coronary anomalies in 24/40 patients were detected. Conclusion: In clinical routine, coronary CTA with 128-MSCT is useful tool for evaluation of CAD and coronary artery anomalies.
Abstract (Original Language): 
Amaç: Bu çalışmada yeni jenerasyon 128 çok kesitli bilgisayarlı tomografi (ÇKBT)'nin koroner arter hastalıklarında ve anomalilerinde klinik yararlılığının değerlendirilmesi amaçlanmaktadır. Metod: Haziran 2009 - Nisan 2010 tarihleri arasında koroner arter hastalığı kuşkusu ile 128-ÇKBT ile koroner bilgisayarlı tomografi anjiografi (BTA) tetkiki uygulanan ardışık 40 olgu çalışmaya dahil edildi. Koroner BTA teknik parametreleri not edildi. Koroner arter darlıkları ve anomalileri her bir hasta ve segmentte değerlendirildi. Bulgular: Olguların 128-ÇKBT ile koroner BTA incelemesi, ortalama 64± 2,1 mL kontrast hacmi ve 68 ± 11 atım/dakika kalp hızı ile elde olundu. Koroner BTA, 22/40 olgunun 47 segmentinde darlık gösterdi. Koroner arter anomalisi 40 olgunun 24'ünde saptandı. Sonuç: Klinik pratikte, 128 kesit ÇKBT ile koroner BTA, koroner arter hastalıklarının ve anomalilerinin değerlendirilmesinde kullanışlı bir yöntemdir.
5-8

REFERENCES

References: 

1. Mollet NR, Cademartini F, Nieman K, et al. Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol 2004;43:2265-70.
2.
Önce
l D. Koroner BT Anjiografi. İzmir, Arkadaş Matbaacılık, 2088; 21-24.
3. Papaconstantinou HD, Marshall EJ, Burrell CJ. Diagnostic cardiac catheterzation in a hospital without on site cardiac surgery. Heart 1999; 81:465-69.
4.
Hazırola
n T. Koroner arterlerin çok dedektörlü bilgisayarlı tomografi ile görüntülenmesi. Hacettepe TıpDergisi 2006; 37:6-13.
5. Manghat NE, Morgan- Hughes GJ, Marshall AJ, Roobottom CA. Multi-detector row computed
tomography: imaging the coronary arteries. Clin Radiol 2005; 60:939-52.
6. Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo 2004; 176:1803¬810.
7. SchoepfJU, Zwerner PL, Savino G, et al. Coronary CT angiography. Radiology 2007 244; 48-63.
8. Falk E, Shah PK, Fuster V,. Coronary plaque disruption. Circulation 1995; 92:657-71
9. Nikolaou K, Knez A, Rist C, et al. Accuracy of 64-MDCT in the diagnosis ofischemic heart disease. AJR 2006: 187:111-17.
10. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005; 26:1482-7.
11. Martuscelli E, Romagnoli A, D'Eliseo A. Accuracy ofthin slice computed tomography in the detection of coronary stenoses. Eur Heart J 2004; 12:1043-8.
12. Koşar P, Ergun E, Cansu Ö, Koşar U. Anatomic variation and anomalies ofthe coronary arteries: 64-CT angiographic appearance. Diagn Interv Radiol 2009; 15:275-83.
13. Schmitt R, Froehners, Brunn J, et al. Congenital anomalies of the coronary arteries: imaging with contrast enhanced, multidedector computed tomography. Eur Radiol 2005; 15:1110-21.
14. Kantarci M, Duran C, Durur I, et al. Detection of myokardial bridging with ECG gaited MDCT and multiplanar reconstruction. AJR Am J Roentgenol 2006; 186:391-4.
15. Canyigit M, Hazirolan T, Karcaaltincaba M, et al. Myocardial bridding as evaluated by16 row MDCT. Eur J Radiol 2009; 69:156-64.
16. Dewey M, Kroft LJM. Anatomy. In Dewey M, ed. Coronary CT angiography. Berlin, Springer, 2009;11-
26.

Thank you for copying data from http://www.arastirmax.com