Coronary Artery Disease After Radiation Therapy for Hodgkin's Lymphoma: Coronary CT Angiography Findings and Calcium Scores in Nine Asymptomatic Patients

Rademaker, Jürgen; Schöder, Heiko; Ariaratnam, Nikki S.; Strausś, H. William; Yahalom, Joachim; Steingart, Richard M.; Oeffinger, Kevin C.

doi:10.2214/ajr.07.3112

Cited by 92 publications

(75 citation statements)

References 23 publications

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“…Page 2, line 10-11: A common localization of coronary lesions after radiotherapy is at the ostial or proximal segment, with a distal disease-free vasculature (8). 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Erythrocyte sedimentation rate (ESR) and C-reactive protein were within the normal range.…”

Section: Reviewer Commentmentioning

confidence: 99%

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Severe left main coronary stenosis and mitral regurgitation in a young female patient without cardiovascular risk factors 14 years after mediastinal radiation therapy

et al. 2009

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Section: Reviewer Commentmentioning

confidence: 99%

“…A common localization of coronary lesions after radiotherapy is at the ostial or proximal segment, with a distal disease-free vasculature (8).…”

Section: Coronary Arterial Involvement Inmentioning

confidence: 99%

Severe left main coronary stenosis and mitral regurgitation in a young female patient without cardiovascular risk factors 14 years after mediastinal radiation therapy

et al. 2009

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“…5 In a case series that included nine patients, Rademaker et al stated that CTA and calcium scoring are useful methods for the assessment of coronary artery disease (CAD) related to irradiation. 10 Compared to catheter angiography, CTA is a noninvasive method with a high negative predictive value. CTA can reveal the effect of radiation and wall thickening of soft tissues in addition to the vascular lumen.…”

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confidence: 99%

“…Besides the advantage of having lower costs in comparison to traditional invasive angiography, CTA acquires information regarding the vessel wall and enables the identification of pathologic vessels and additional extravascular abnormalities. 10,11 CTA is also able to detect calcium in the vessel lining, with high sensitivity. 10 However, invasive coronary angiography cannot be recommended based only on coronary calcium scoring, due to its low specificity.…”

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confidence: 99%

“…10,11 CTA is also able to detect calcium in the vessel lining, with high sensitivity. 10 However, invasive coronary angiography cannot be recommended based only on coronary calcium scoring, due to its low specificity. 12 In patients with HL the generally recommended screening methods for cardiovascular diseases are coronary computed tomography (CT) and coronary calcium scoring for coronary artery disease, and conventional echocardiography and tissue Doppler imaging for valvular heart disease.…”

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confidence: 99%

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Noninvasive Assessment of Coronary Arteries in Patients with Hematologic Disorders

Lázár¹,

Oltean²,

Jáni³

et al. 2017

Journal of Interdisciplinary Medicine

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Hematological conditions and their treatments have an increased risk of cardiovascular events, and invasive interventions have a higher risk of periprocedural complications in this group of patients. The aim of this review was to evaluate the risk of invasive interventions in patients with hematologic disorders and to underline the role of noninvasive cardiovascular screening in patients with hematological disorders such as Hodgkin and non-Hodgkin lymphoma, anemia, hemophilia, thrombocythemia, polycythemia vera, and leukemia. Based on present knowledge in the field, our opinion is that the screening of patients with hematological diseases is very important to reduce the morbidity and mortality due to cardiovascular events. Noninvasive assessments are suitable for this purpose with a significantly lower risk compared to invasive interventions.

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SCAI expert consensus statement: Evaluation, management, and special considerations of cardio‐oncology patients in the cardiac catheterization laboratory (Endorsed by the Cardiological Society of India, and Sociedad Latino Americana de Cardiologıa Intervencionista)

Iliescu

Grines

Herrmann

et al. 2015

Cathet Cardio Intervent

131

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In the United States alone, there are currently approximately 14.5 million cancer survivors, and this number is expected to increase to 20 million by 2020. Cancer therapies can cause significant injury to the vasculature, resulting in angina, acute coronary syndromes (ACS), stroke, critical limb ischemia, arrhythmias, and heart failure, independently from the direct myocardial or pericardial damage from the malignancy itself. Consequently, the need for invasive evaluation and management in the cardiac catheterization laboratory (CCL) for such patients has been increasing. In recognition of the need for a document on special considerations for cancer patients in the CCL, the Society for Cardiovascular Angiography and Interventions (SCAI) commissioned a consensus group to provide recommendations based on the published medical literature and on the expertise of operators with accumulated experience in the cardiac catheterization of cancer patients.

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Coronary Artery Disease After Radiation Therapy for Hodgkin's Lymphoma: Coronary CT Angiography Findings and Calcium Scores in Nine Asymptomatic Patients

Cited by 92 publications

References 23 publications

Severe left main coronary stenosis and mitral regurgitation in a young female patient without cardiovascular risk factors 14 years after mediastinal radiation therapy

Severe left main coronary stenosis and mitral regurgitation in a young female patient without cardiovascular risk factors 14 years after mediastinal radiation therapy

Noninvasive Assessment of Coronary Arteries in Patients with Hematologic Disorders

SCAI expert consensus statement: Evaluation, management, and special considerations of cardio‐oncology patients in the cardiac catheterization laboratory (Endorsed by the Cardiological Society of India, and Sociedad Latino Americana de Cardiologıa Intervencionista)

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