Follow-up of coronary artery bypass graft patency: diagnostic efficiency of high-pitch dual-source 256-slice MDCT findings.

Abstract:

OBJECTIVES:Our aim was to evaluate the diagnostic accuracy of 256-slice, high-pitch mode multidetector computed tomography (MDCT) for coronary artery bypass graft (CABG) patency. METHODS:Eighty-eight patients underwent 256-slice MDCT angiography to evaluate their graft patency after CABG surgery using a prospectively synchronized electrocardiogram in the high-pitch spiral acquisition mode. Effective radiation doses were calculated. We investigated the diagnostic accuracy of high-pitch, low-dose, prospective, electrocardiogram-triggering, dual-source MDCT for CABG patency compared with catheter coronary angiography imaging findings. RESULTS:A total of 215 grafts and 645 vessel segments were analyzed. All graft segments had diagnostic image quality. The proximal and middle graft segments had significantly (P < 0.05) better mean image quality scores (1.18 ± 0.4) than the distal segments (1.31 ± 0.5). Using catheter coronary angiography as the reference standard, high-pitch MDCT had the following sensitivity, specificity, positive predictive value, and negative predictive value of per-segment analysis for detecting graft patency: 97.1%, 99.6%, 94.4%, and 99.8%, respectively. CONCLUSIONS:In conclusion, MDCT can be used noninvasively with a lower radiation dose for the assessment of restenosis in CABG patients.

journal_name

J Comput Assist Tomogr

authors

Yuceler Z,Kantarci M,Yuce I,Kizrak Y,Bayraktutan U,Ogul H,Kiris A,Celik O,Pirimoglu B,Genc B,Gundogdu F

doi

10.1097/RCT.0b013e3182a58a8c

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

61-6

issue

1

eissn

0363-8715

issn

1532-3145

journal_volume

38

pub_type

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