作者
Carlos AG Van Mieghem, Filippo Cademartiri, Nico R Mollet, Patrizia Malagutti, Marco Valgimigli, Willem B Meijboom, Francesca Pugliese, Eugene P McFadden, Jurgen Ligthart, Giuseppe Runza, Nico Bruining, Pieter C Smits, Evelyn Regar, Willem J van der Giessen, Georgios Sianos, Ron van Domburg, Peter de Jaegere, Gabriel P Krestin, Patrick W Serruys, Pim J de Feyter
发表日期
2006/8/15
期刊
Circulation
卷号
114
期号
7
页码范围
645-653
出版商
Lippincott Williams & Wilkins
简介
Background— Surveillance conventional coronary angiography (CCA) is recommended 2 to 6 months after stent-supported left main coronary artery (LMCA) percutaneous coronary intervention due to the unpredictable occurrence of in-stent restenosis (ISR), with its attendant risks. Multislice computed tomography (MSCT) is a promising technique for noninvasive coronary evaluation. We evaluated the diagnostic performance of high-resolution MSCT to detect ISR after stenting of the LMCA.
Methods and Results— Seventy-four patients were prospectively identified from a consecutive patient population scheduled for follow-up CCA after LMCA stenting and underwent MSCT before CCA. Until August 2004, a 16-slice scanner was used (n=27), but we switched to the 64-slice scanner after that period (n=43). Patients with initial heart rates >65 bpm received β-blockers, which resulted in a mean periscan heart rate of …
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