Adolescent Kawasaki disease: usefulness of 64-slice CT coronary angiography for follow-up investigation
| العنوان: | Adolescent Kawasaki disease: usefulness of 64-slice CT coronary angiography for follow-up investigation |
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| المؤلفون: | Rita D'Agostino, Nicola Galea, Leon Menezes, Iacopo Carbone, David Cannata, Andrea Zorzi, Giovanna Bosco, Carlo Catalano, Marco Francone, Emanuela Algeri, Alessandro Napoli, Roberto Passariello |
| المصدر: | Pediatric Radiology. 41:1165-1173 |
| بيانات النشر: | Springer Science and Business Media LLC, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Male, Coronary angiography, Cardiac Catheterization, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Mucocutaneous Lymph Node Syndrome, Coronary Angiography, Young Adult, Aneurysm, hemic and lymphatic diseases, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, Young adult, Child, Cardiac catheterization, Neuroradiology, business.industry, medicine.disease, Coronary arteries, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Cardiology, Female, Kawasaki disease, kawasaki disease, computed tomography, coronary arteries, aneurysm, Tomography, X-Ray Computed, business, Follow-Up Studies, Systemic vasculitis |
| الوصف: | Kawasaki disease (KD) is a systemic vasculitis that mainly affects coronary arteries in children, and requires regular follow-up from the time of diagnosis.To evaluate the feasibility of 64-slice CT angiography (CTA) for follow-up of patients with KD using previously performed invasive catheter coronary angiography (CCA) as reference standard.The study group comprised 12 patients (age 17.6 ± 2.9 years, mean ± SD) with a diagnosis of KD and a previously performed CCA (interval, 32.6 ± 13.5 months) who underwent 64-slice cardiac CTA. The quality of the images for establishing the presence of coronary abnormalities was determined by two observers. The CTA findings were compared with those from the prior CCA.Adequate image quality was obtained in all patients. Mean effective dose for CTA was 6.56 ± 0.95 mSv. CTA allowed accurate identification, characterization and measurement of all coronary aneurysms (n = 32), stenoses (n = 3) and occlusions (n = 9) previously demonstrated by CCA. One patient with disease progression went on to have percutaneous coronary intervention.Coronary lesions were reliably evaluated by 64-slice CTA in the follow-up of compliant patients with KD, reducing the need for repeated diagnostic invasive CCA. Hence, in an adequately selected patient population, the role of CCA could be limited almost only to therapeutic procedures. |
| تدمد: | 1432-1998 0301-0449 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5e381f222e3733c1facbd9d2a4dec38fTest https://doi.org/10.1007/s00247-011-2141-0Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5e381f222e3733c1facbd9d2a4dec38f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14321998 03010449 |
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