A Practical Guide to Pediatric Coronary Artery Imaging with Echocardiography

Brown, Lynne; Duffy, C. Elise; Mitchell, Carol; Young, Luciana

doi:10.1016/j.echo.2015.01.008

Cited by 30 publications

(17 citation statements)

References 32 publications

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“…Coronary arteries should also be imaged for thrombosis and flow‐patterns using 2D and color Doppler imaging (with low Nyquist limit) for areas of flow acceleration or absence and to assure continuous flow during diastole. Color Doppler may help to delineate flow around a coronary artery thrombosis or identify stenotic regions if flow disturbance is identified . Brown et al .…”

Section: Discussionmentioning

confidence: 99%

“…Color Doppler may help to delineate flow around a coronary artery thrombosis or identify stenotic regions if flow disturbance is identified . Brown et al . provide an excellent review detailing views and techniques for optimizing and obtaining high‐quality coronary artery echocardiographic imaging.…”

Section: Discussionmentioning

confidence: 99%

“…Mitral valve interrogation should be sought during the initial echo as early or late coronary artery thrombosis can lead to papillary muscle dysfunction or myocardial ischemia leading to altered flow characteristics through the valve. The aortic root should be imaged as mild root dilation is a common finding in patients with KD …”

Section: Discussionmentioning

confidence: 99%

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Kawasaki disease and giant coronary artery aneurysms: the role of echocardiography from diagnosis through follow‐up

Adler

Kodavatiganti

2016

Echocardiography

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Kawasaki disease is an acquired vasculitis that can affect the coronary arteries placing the patient at risk for coronary artery thrombosis, myocardial ischemia and infarction. The risk of complications related to coronary artery involvement persists for years despite recovery from the acute illness phase. The risk of late coronary disease progression necessitates long term follow-up generally accomplished by non-invasive echocardiography in pediatric patients. We review the utility of echocardiography in patients with Kawasaki disease as it relates to initial management, risk stratification and follow-up of these children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Kawasaki disease and giant coronary artery aneurysms: the role of echocardiography from diagnosis through follow‐up

Adler

Kodavatiganti

2016

Echocardiography

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“…All patients were examined using the same echocardiographic system. TTE examination of the coronary arteries mainly incorporated methods proposed by Douglas et al7 and Fuse et al8 and combined with American Society of Echocardiography practice guidelines 9. The proximal, middle and distal segments of the right coronary artery, and posterior descending branch could be displayed using three approaches: the left sternal approach, subcostal approach, and right sternal approach.…”

Section: Methodsmentioning

confidence: 99%

Noninvasive detection of coronary artery stents by transthoracic echocardiography postprocessing subtraction technique

Xiao-yong

Chen

2020

Echocardiography

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Aim:To explore the feasibility and value of transthoracic echocardiography (TTE) postprocessing subtraction technique in the detection of a stent in the coronary artery. Method:Transthoracic echocardiography was used to examine 46 coronary artery stents in 30 patients by two-dimensional ultrasound postprocessing subtraction technique. The shape of each stent and its flow patency were observed. The patency was assessed according to blood flow and mosaic flow in the stent. Then, the results were compared with those of percutaneous coronary intervention (PCI) records and coronary angiography (CAG).Results: Transthoracic echocardiography detected 36 stents among 46 stents (two in the LMCA, 23 in the LAD, seven in the RCA, and two in the LCX); the detection rate was 78.3%. The average length of the stents was 21.8 ± 4.1 mm, and the average diameter was 2.4 ± 0.5 mm; both are shorter than those from PCI records (P < .001). Of the 36 stents, blood flow could be observed in 27. Compared with the results of CAG, TTE had 75% feasibility and 92.6% accuracy in detecting flow patency in the stents. Conclusion:Transthoracic echocardiography postprocessing subtraction technique could be a noninvasive method for detecting a coronary artery stent and, although the measurements of stent length and diameter were shorter than those of PCI records, an accurate detection of flow patency in the stents was achieved. K E Y W O R D Scoronary artery, echocardiography, postprocessing subtraction technique, stent

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“…Echocardiographic techniques for imaging of CA origin and course are well described. [2][3][4] TTE is the ideal modality because it is risk-free, noninvasive, portable, and widely available. Echocardiography, with its high temporal and spatial resolution, permits rapid visualization of soft tissue and cardiac chambers, and can be readily performed in all clinical settings.…”

Section: A Echocardiographymentioning

confidence: 99%

Recommendations for Multimodality Assessment of Congenital Coronary Anomalies: A Guide from the American Society of Echocardiography

Frommelt

Lopez

Dimas

et al. 2020

Journal of the American Society of Echocardiography

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A Practical Guide to Pediatric Coronary Artery Imaging with Echocardiography

Cited by 30 publications

References 32 publications

Kawasaki disease and giant coronary artery aneurysms: the role of echocardiography from diagnosis through follow‐up

Kawasaki disease and giant coronary artery aneurysms: the role of echocardiography from diagnosis through follow‐up

Noninvasive detection of coronary artery stents by transthoracic echocardiography postprocessing subtraction technique

Recommendations for Multimodality Assessment of Congenital Coronary Anomalies: A Guide from the American Society of Echocardiography

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