Coronary bypass graft patency cannot be determined by multidetector spiral computed tomography

Bartnes, Kristian; Sildnes, T.; Iqbal, Amjid; Dahl-Eriksen, Øystein; Trovik, Thor; Steigen, Terje K.; Mortensen, Rica; Mannsverk, Jan; Sørlie, Dag; Myrmel, Truls

doi:10.1080/14017430600566039

Cited by 9 publications

(3 citation statements)

References 12 publications

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“…Bartnes and colleagues, reported a series of 45 patients with 156 grafts who underwent 16‐slice MDCT two years after CABG 18 . Twenty‐four percent of the bypasses could not be evaluated particularly due to insufficient visualization of distal anastomosis caused by respiratory movements, metal clips artifacts, or small diameter vessels.…”

Section: Discussionmentioning

confidence: 99%

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Sixteen-Slice Multidetector Computed Tomography for Graft Patency Evaluation After Coronary Artery Bypass Surgery

et al. 2008

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Section: Discussionmentioning

confidence: 99%

“…Among the remaining 117 evaluable grafts, 6% were erroneously classified by MDCT when compared with coronary angiography. Among 14 occluded grafts, 3 were misjudged as patent (78.5% and 98.0% sensitivity and specificity respectively) and the single stenotic bypass was missed by MDCT 18 …”

Section: Discussionmentioning

confidence: 99%

Sixteen-Slice Multidetector Computed Tomography for Graft Patency Evaluation After Coronary Artery Bypass Surgery

et al. 2008

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“…For accuracy in detecting graft occlusion and stenosis in CABG patients, 17 studies 33,39,[52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] (18 comparisons) with an average of 33 cases (range 10 -52) were included (Table 4). One study 54 had separate comparisons for arterial and venous grafts.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Accuracy of Multislice Computed Tomography Coronary Angiography

Gopalakrishnan¹,

Wilson²,

Tak³

2008

Cardiology in Review

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A PUBMED search was performed for peer-reviewed studies published in English from 2002 through August 2006. Accuracy parameters for detection of obstructive coronary artery disease by MSCT (multislice computed tomography) coronary angiography were analyzed on patient and segment basis. Pooled estimates of sensitivity (SN), specificity, positive predictive value, and negative predictive value (NPV) in patient-based analyses were 93%, 82%, 83%, and 92%, respectively. For 64/40-slice MSCT the respective accuracy estimates were 96%, 91%, 93%, and 96% and were better compared with 16-slice MSCT. Also, more segments were evaluated by 64-slice MSCT (96%) compared with 16-slice MSCT (86%). The SN and NPV of MSCT coronary angiography for patients with low coronary artery calcium (CAC) score were 92% and 99% compared with 77% and 89% for patients with high CAC score. The accuracy estimates for MSCT in studying coronary artery by-pass grafts and intracoronary stents showed a SN and NPV of 97% and 97% for graft occlusion or stenosis and only 71% and 93% respectively for in-stent restenosis. Diagnostic accuracy of MSCT coronary angiography has improved with the newer 64-slice versions. High CAC scores can affect the accuracy of MSCT coronary angiography. Although the accuracy of MSCT in evaluating native vessel and graft disease has improved significantly, its reliability in studying intracoronary stents remains uncertain.

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Multi-Detector Computed Tomography in Coronary Artery Bypass Graft Assessment: A Meta-Analysis

Jones

Athanasiou

Dunne

et al. 2007

The Annals of Thoracic Surgery

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Coronary bypass graft patency cannot be determined by multidetector spiral computed tomography

Abstract: At present, 16-slice MDCT cannot replace selective angiography for assessment of coronary bypass graft patency since 24% of bypasses could not be evaluated by this method, and an error rate of 6% is unacceptable.

Cited by 9 publications

References 12 publications

Sixteen-Slice Multidetector Computed Tomography for Graft Patency Evaluation After Coronary Artery Bypass Surgery

Sixteen-Slice Multidetector Computed Tomography for Graft Patency Evaluation After Coronary Artery Bypass Surgery

Accuracy of Multislice Computed Tomography Coronary Angiography

Multi-Detector Computed Tomography in Coronary Artery Bypass Graft Assessment: A Meta-Analysis

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