Multidetector computed tomography-guided treatment strategy in patients with non-ST elevation acute coronary syndromes: a pilot study.
作者： J. Dorgelo , T. P. Willems , C. A. Geluk , P. M. A. van Ooijen , F. Zijlstra
DOI: 10.1007/S00330-004-2506-Y
关键词:
摘要: Patients with non-ST elevation acute coronary syndrome (ACS) and evidence of myocardial ischaemia are scheduled for angiography (CAG). In most patients CAG remains a single diagnostic procedure only. A prospective study was performed to evaluate whether 16-slice multidetector CT (MDCT) could predict treatment the determine how many CAGs have been prevented by MDCT scanning prior CAG. Twenty-two ACS were scanned Based on data, fictive proposed compared CAG-based treatment. Excellent accuracy observed detect significant stenoses using (sensitivity 94%, specificity 96%). 45%, no PCI during CAG, because absence artery disease (27%) or severe disease, demanding CABG (18%). predicted correct in 86%. By 32% prevented.
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