The knowledge of the coronary anatomy is the prerequisite for the decision of appropriate therapy of coronary artery disease (CAD). 64-slice computed tomographic angiography (CTA) enables the non-invasive imaging of the coronary arteries and offers, unlike the CCA, the possibility to assess the vascular wall and its alterations leading to the stenosis (calcified, non-calcified and mixed plaque). Aim of the study was to determine if the previously published results could be achieved in a hospital of basic and regular care. 163 symptomatic patients (104♂, 59♀) with sinus rhythm were studied with the CTA and compared with the invasive coronary angiography (CCA). Sensitivity, specificity and accuracy of 96%, 97% and 96% respectively were achieved per-patient for the detection of a >50% stenosis. The data correspond to 3 recent, large multicenter studies. CTA has the ability to rule out or detect CAD and to reduce the number of CCA.
«
The knowledge of the coronary anatomy is the prerequisite for the decision of appropriate therapy of coronary artery disease (CAD). 64-slice computed tomographic angiography (CTA) enables the non-invasive imaging of the coronary arteries and offers, unlike the CCA, the possibility to assess the vascular wall and its alterations leading to the stenosis (calcified, non-calcified and mixed plaque). Aim of the study was to determine if the previously published results could be achieved in a hospital...
»