Visualization of coronary arteries in patients after childhood Kawasaki syndrome: value of multidetector CT and MR imaging in comparison to conventional coronary catheterization

作者: Joachim Eichhorn , Jens-Peter Schenk , Herbert Ulmer , Hans-Ulrich Kauczor , Raoul Arnold

DOI: 10.1007/S00247-007-0566-2

关键词:

摘要: After childhood Kawasaki syndrome (KS) the coronary arteries undergo a lifelong dynamic pathological change, and follow-up artery imaging is essential. At present, conventional catheterization (CCC) angiography still regarded as gold standard. Less-invasive methods such multidetector CT (MDCT-A) MRI have been used sporadically. To compare diagnostic quality of MDCT-A with that CCC for in group patients pathology after KS. A total 16 (aged 5–27 years) underwent 16-row 14 (1.5 T). There was 100% agreement between detection aneurysms stenoses. superior visualization calcified lesions. showed 93% aneurysms. Visualization stenoses difficult using MRI—one stenosis missed. has excellent correlation regarding all changes affecting In comparison to CCC, less precise stenotic Due its high image ease performance should be primary modality following

参考文章(21)
Hirohisa Kato, Tetsu Sugimura, Teiji Akagi, Noboru Sato, Kanoko Hashino, Yasuki Maeno, Takeyo Kazue, Genzyu Eto, Rumi Yamakawa, Long-term Consequences of Kawasaki Disease A 10- to 21-Year Follow-up Study of 594 Patients Circulation. ,vol. 94, pp. 1379- 1385 ,(1996) , 10.1161/01.CIR.94.6.1379
Zenshiro Onouchi, Kenji Hamaoka, Koichi Sakata, Seiichiro Ozawa, Isao Shiraishi, Toshiki Itoi, Nobuyuki Kiyosawa, Long-Term Changes in Coronary Artery Aneurysms in Patients With Kawasaki Disease Circulation. ,vol. 69, pp. 265- 272 ,(2005) , 10.1253/CIRCJ.69.265
Winnie CW Chu, Geoffrey CF Mok, Wynnie WM Lam, Man-ching Yam, Rita YT Sung, None, Assessment of coronary artery aneurysms in paediatric patients with Kawasaki disease by multidetector row CT angiography: feasibility and comparison with 2D echocardiography Pediatric Radiology. ,vol. 36, pp. 1148- 1153 ,(2006) , 10.1007/S00247-006-0281-4
Hyun Woo Goo, In-Sook Park, Jae Kon Ko, Young Hwee Kim, Coronary CT angiography and MR angiography of Kawasaki disease. Pediatric Radiology. ,vol. 36, pp. 697- 705 ,(2006) , 10.1007/S00247-006-0182-6
Matthew J Budoff, Stephan Achenbach, Andre Duerinckx, Clinical utility of computed tomography and magnetic resonance techniques for noninvasive coronary angiography Journal of the American College of Cardiology. ,vol. 42, pp. 1867- 1878 ,(2003) , 10.1016/J.JACC.2003.07.018
Donald P. Frush, Terry Yoshizumi, Conventional and CT angiography in children: dosimetry and dose comparisons Pediatric Radiology. ,vol. 36, pp. 154- 158 ,(2006) , 10.1007/S00247-006-0190-6
Sophie Mavrogeni, George Papadopoulos, Marouso Douskou, Savas Kaklis, Ioannis Seimenis, Panagiotis Baras, Polixeni Nikolaidou, Chryssa Bakoula, Evangelos Karanasios, Athanasios Manginas, Dennis V Cokkinos, Magnetic resonance angiography isequivalent to X-Ray coronary angiography for the evaluation of coronary arteries in kawasaki disease ☆ Journal of the American College of Cardiology. ,vol. 43, pp. 649- 652 ,(2004) , 10.1016/J.JACC.2003.08.052
Ruth A. Kleinerman, Cancer risks following diagnostic and therapeutic radiation exposure in children Pediatric Radiology. ,vol. 36, pp. 121- 125 ,(2006) , 10.1007/S00247-006-0191-5
Harpreet K. Pannu, Thomas G. Flohr, Frank M. Corl, Elliot K. Fishman, Current concepts in multi-detector row CT evaluation of the coronary arteries: principles, techniques, and anatomy. Radiographics. ,vol. 23, ,(2003) , 10.1148/RG.23SI035514
S. Flacke, R. M. Setser, P. Barger, S. A. Wickline, C. H. Lorenz, Coronary Aneurysms in Kawasaki’s Disease Detected by Magnetic Resonance Coronary Angiography Circulation. ,vol. 101, ,(2000) , 10.1161/01.CIR.101.14.E156