The clinical significance and management of patients with incomplete coronary angiography and the value of additional computed tomography coronary angiography
To assess the anatomical background and significance of incomplete invasive coronary angiography (ICA) and to evaluate the value of coronary computed tomography angiography (CTA) in this scenario. The current study is an analysis of high volume center experience with prospective registry of coronary...
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| Veröffentlicht in: | International Journal of Cardiovascular Imaging 2014-04, Vol.30 (4), p.825-832 |
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| creator | Pregowski, Jerzy Kepka, Cezary Kruk, Mariusz Mintz, Gary S. Kalinczuk, Lukasz Ciszewski, Michal Kochanowski, Lukasz Wolny, Rafal Chmielak, Zbigniew Jastrzębski, Jan Klopotowski, Mariusz Zalewska, Joanna Demkow, Marcin Karcz, Maciej Witkowski, Adam |
| description | To assess the anatomical background and significance of incomplete invasive coronary angiography (ICA) and to evaluate the value of coronary computed tomography angiography (CTA) in this scenario. The current study is an analysis of high volume center experience with prospective registry of coronary CTA and ICA. The target population was identified through a review of the electronic database. We included consecutive patients referred for coronary CTA after ICA, which did not visualize at least one native coronary artery or by-pass graft. Between January 2009 and April 2013, 13,603 diagnostic ICA were performed. There were 45 (0.3 %) patients referred for coronary CTA after incomplete ICA. Patients were divided into 3 groups: angina symptoms without previous coronary artery by-pass grafting (CABG) (n = 11,212), angina symptoms with previous CABG (n = 986), and patients prior to valvular surgery (n = 925). ICA did not identify by-pass grafts in 21 (2.2 %) patients and in 24 (0.2 %) cases of native arteries. The explanations for an incomplete ICA included: 11 ostium anomalies, 2 left main spasms, 5 access site problems, 5 ascending aorta aneurysms, and 2 tortuous take-off of a subclavian artery. However, in 20 (44 %) patients no specific reason for the incomplete ICA was identified. After coronary CTA revascularization was performed in 11 (24 %) patients: 6 successful repeat ICA and percutaneous intervention and 5 CABG. Incomplete ICA constitutes rare, but a significant clinical problem. Coronary CTA provides adequate clinical information in these patients. |
| doi_str_mv | 10.1007/s10554-014-0397-9 |
| format | Article |
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The current study is an analysis of high volume center experience with prospective registry of coronary CTA and ICA. The target population was identified through a review of the electronic database. We included consecutive patients referred for coronary CTA after ICA, which did not visualize at least one native coronary artery or by-pass graft. Between January 2009 and April 2013, 13,603 diagnostic ICA were performed. There were 45 (0.3 %) patients referred for coronary CTA after incomplete ICA. Patients were divided into 3 groups: angina symptoms without previous coronary artery by-pass grafting (CABG) (n = 11,212), angina symptoms with previous CABG (n = 986), and patients prior to valvular surgery (n = 925). ICA did not identify by-pass grafts in 21 (2.2 %) patients and in 24 (0.2 %) cases of native arteries. The explanations for an incomplete ICA included: 11 ostium anomalies, 2 left main spasms, 5 access site problems, 5 ascending aorta aneurysms, and 2 tortuous take-off of a subclavian artery. However, in 20 (44 %) patients no specific reason for the incomplete ICA was identified. After coronary CTA revascularization was performed in 11 (24 %) patients: 6 successful repeat ICA and percutaneous intervention and 5 CABG. Incomplete ICA constitutes rare, but a significant clinical problem. Coronary CTA provides adequate clinical information in these patients.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-014-0397-9</identifier><identifier>PMID: 24623270</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Aged, 80 and over ; Cardiac Imaging ; Cardiology ; Coronary Angiography - methods ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Coronary Vessels - diagnostic imaging ; Female ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Myocardial Revascularization ; Original Paper ; Patient Selection ; Predictive Value of Tests ; Prognosis ; Radiology ; Registries ; Retrospective Studies ; Tomography, X-Ray Computed</subject><ispartof>International Journal of Cardiovascular Imaging, 2014-04, Vol.30 (4), p.825-832</ispartof><rights>Springer Science+Business Media Dordrecht 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-9e4b9de942e08ffbbe4674be302120d0f28699fc34f95a40c5f35df2396f63203</citedby><cites>FETCH-LOGICAL-c405t-9e4b9de942e08ffbbe4674be302120d0f28699fc34f95a40c5f35df2396f63203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-014-0397-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-014-0397-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24623270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pregowski, Jerzy</creatorcontrib><creatorcontrib>Kepka, Cezary</creatorcontrib><creatorcontrib>Kruk, Mariusz</creatorcontrib><creatorcontrib>Mintz, Gary S.</creatorcontrib><creatorcontrib>Kalinczuk, Lukasz</creatorcontrib><creatorcontrib>Ciszewski, Michal</creatorcontrib><creatorcontrib>Kochanowski, Lukasz</creatorcontrib><creatorcontrib>Wolny, Rafal</creatorcontrib><creatorcontrib>Chmielak, Zbigniew</creatorcontrib><creatorcontrib>Jastrzębski, Jan</creatorcontrib><creatorcontrib>Klopotowski, Mariusz</creatorcontrib><creatorcontrib>Zalewska, Joanna</creatorcontrib><creatorcontrib>Demkow, Marcin</creatorcontrib><creatorcontrib>Karcz, Maciej</creatorcontrib><creatorcontrib>Witkowski, Adam</creatorcontrib><title>The clinical significance and management of patients with incomplete coronary angiography and the value of additional computed tomography coronary angiography</title><title>International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>To assess the anatomical background and significance of incomplete invasive coronary angiography (ICA) and to evaluate the value of coronary computed tomography angiography (CTA) in this scenario. The current study is an analysis of high volume center experience with prospective registry of coronary CTA and ICA. The target population was identified through a review of the electronic database. We included consecutive patients referred for coronary CTA after ICA, which did not visualize at least one native coronary artery or by-pass graft. Between January 2009 and April 2013, 13,603 diagnostic ICA were performed. There were 45 (0.3 %) patients referred for coronary CTA after incomplete ICA. Patients were divided into 3 groups: angina symptoms without previous coronary artery by-pass grafting (CABG) (n = 11,212), angina symptoms with previous CABG (n = 986), and patients prior to valvular surgery (n = 925). ICA did not identify by-pass grafts in 21 (2.2 %) patients and in 24 (0.2 %) cases of native arteries. The explanations for an incomplete ICA included: 11 ostium anomalies, 2 left main spasms, 5 access site problems, 5 ascending aorta aneurysms, and 2 tortuous take-off of a subclavian artery. However, in 20 (44 %) patients no specific reason for the incomplete ICA was identified. After coronary CTA revascularization was performed in 11 (24 %) patients: 6 successful repeat ICA and percutaneous intervention and 5 CABG. Incomplete ICA constitutes rare, but a significant clinical problem. Coronary CTA provides adequate clinical information in these patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Myocardial Revascularization</subject><subject>Original Paper</subject><subject>Patient Selection</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Radiology</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc-K1jAUxYMozjj6AG4k4GY21Zt_bbOUQUdhwM24Dml60y9Dm9SmVeZlfFbT-WZERMFFyIH8zklyDyEvGbxhAM3bzEApWQErS-im0o_IKVONqKCR4vGua12pRssT8iznGwDgwMVTcsJlzQVv4JT8uD4gdWOIwdmR5jDE4IuMDqmNPZ1stANOGFeaPJ3tGorM9HtYDzREl6Z5xLUEpCVFu9wWzxDSsNj5cHvnX0v6NztuuNtt34c1FHCku3NbsQBpeuD_FvKcPPF2zPjifj8jXz68v774WF19vvx08e6qchLUWmmUne5RS47Qet91KOtGdiiAMw49eN7WWnsnpNfKSnDKC9V7LnTta8FBnJHzY-68pK8b5tVMITscRxsxbdkwJWUZcyvVf6BMSgGg6oK-_gO9SdtS_n9HCa5b2baFYkfKLSnnBb2ZlzCVQRgGZu_ZHHs25QFm79no4nl1n7x1E_a_HA_FFoAfgVyO4oDLb1f_M_UnVqm1ww</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Pregowski, Jerzy</creator><creator>Kepka, Cezary</creator><creator>Kruk, Mariusz</creator><creator>Mintz, Gary S.</creator><creator>Kalinczuk, Lukasz</creator><creator>Ciszewski, Michal</creator><creator>Kochanowski, Lukasz</creator><creator>Wolny, Rafal</creator><creator>Chmielak, Zbigniew</creator><creator>Jastrzębski, Jan</creator><creator>Klopotowski, Mariusz</creator><creator>Zalewska, Joanna</creator><creator>Demkow, Marcin</creator><creator>Karcz, Maciej</creator><creator>Witkowski, Adam</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope></search><sort><creationdate>20140401</creationdate><title>The clinical significance and management of patients with incomplete coronary angiography and the value of additional computed tomography coronary angiography</title><author>Pregowski, Jerzy ; Kepka, Cezary ; Kruk, Mariusz ; Mintz, Gary S. ; Kalinczuk, Lukasz ; Ciszewski, Michal ; Kochanowski, Lukasz ; Wolny, Rafal ; Chmielak, Zbigniew ; Jastrzębski, Jan ; Klopotowski, Mariusz ; Zalewska, Joanna ; Demkow, Marcin ; Karcz, Maciej ; Witkowski, Adam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-9e4b9de942e08ffbbe4674be302120d0f28699fc34f95a40c5f35df2396f63203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Myocardial Revascularization</topic><topic>Original Paper</topic><topic>Patient Selection</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Radiology</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pregowski, Jerzy</creatorcontrib><creatorcontrib>Kepka, Cezary</creatorcontrib><creatorcontrib>Kruk, Mariusz</creatorcontrib><creatorcontrib>Mintz, Gary S.</creatorcontrib><creatorcontrib>Kalinczuk, Lukasz</creatorcontrib><creatorcontrib>Ciszewski, Michal</creatorcontrib><creatorcontrib>Kochanowski, Lukasz</creatorcontrib><creatorcontrib>Wolny, Rafal</creatorcontrib><creatorcontrib>Chmielak, Zbigniew</creatorcontrib><creatorcontrib>Jastrzębski, Jan</creatorcontrib><creatorcontrib>Klopotowski, Mariusz</creatorcontrib><creatorcontrib>Zalewska, Joanna</creatorcontrib><creatorcontrib>Demkow, Marcin</creatorcontrib><creatorcontrib>Karcz, Maciej</creatorcontrib><creatorcontrib>Witkowski, Adam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pregowski, Jerzy</au><au>Kepka, Cezary</au><au>Kruk, Mariusz</au><au>Mintz, Gary S.</au><au>Kalinczuk, Lukasz</au><au>Ciszewski, Michal</au><au>Kochanowski, Lukasz</au><au>Wolny, Rafal</au><au>Chmielak, Zbigniew</au><au>Jastrzębski, Jan</au><au>Klopotowski, Mariusz</au><au>Zalewska, Joanna</au><au>Demkow, Marcin</au><au>Karcz, Maciej</au><au>Witkowski, Adam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical significance and management of patients with incomplete coronary angiography and the value of additional computed tomography coronary angiography</atitle><jtitle>International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>30</volume><issue>4</issue><spage>825</spage><epage>832</epage><pages>825-832</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><coden>IJCIBI</coden><abstract>To assess the anatomical background and significance of incomplete invasive coronary angiography (ICA) and to evaluate the value of coronary computed tomography angiography (CTA) in this scenario. The current study is an analysis of high volume center experience with prospective registry of coronary CTA and ICA. The target population was identified through a review of the electronic database. We included consecutive patients referred for coronary CTA after ICA, which did not visualize at least one native coronary artery or by-pass graft. Between January 2009 and April 2013, 13,603 diagnostic ICA were performed. There were 45 (0.3 %) patients referred for coronary CTA after incomplete ICA. Patients were divided into 3 groups: angina symptoms without previous coronary artery by-pass grafting (CABG) (n = 11,212), angina symptoms with previous CABG (n = 986), and patients prior to valvular surgery (n = 925). ICA did not identify by-pass grafts in 21 (2.2 %) patients and in 24 (0.2 %) cases of native arteries. The explanations for an incomplete ICA included: 11 ostium anomalies, 2 left main spasms, 5 access site problems, 5 ascending aorta aneurysms, and 2 tortuous take-off of a subclavian artery. However, in 20 (44 %) patients no specific reason for the incomplete ICA was identified. After coronary CTA revascularization was performed in 11 (24 %) patients: 6 successful repeat ICA and percutaneous intervention and 5 CABG. Incomplete ICA constitutes rare, but a significant clinical problem. Coronary CTA provides adequate clinical information in these patients.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>24623270</pmid><doi>10.1007/s10554-014-0397-9</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Cardiac Imaging Cardiology Coronary Angiography - methods Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Coronary Vessels - diagnostic imaging Female Humans Imaging Male Medicine Medicine & Public Health Middle Aged Myocardial Revascularization Original Paper Patient Selection Predictive Value of Tests Prognosis Radiology Registries Retrospective Studies Tomography, X-Ray Computed |
| title | The clinical significance and management of patients with incomplete coronary angiography and the value of additional computed tomography coronary angiography |
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