The impact of cardiac CT on the appropriate utilization of catheter coronary angiography
The purpose of this study was to evaluate the impact of computed tomography coronary angiography (CTCA) on the appropriate utilization of catheter angiography (CA). This observational trial analyzed all patients undergoing CA in 2006 and 2007 in one hospital. In 2007, patients having a low to interm...
Gespeichert in:
| Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2010-03, Vol.26 (3), p.333-344 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 344 |
|---|---|
| container_issue | 3 |
| container_start_page | 333 |
| container_title | The International Journal of Cardiovascular Imaging |
| container_volume | 26 |
| creator | Wagdi, Philipp Alkadhi, Hatem |
| description | The purpose of this study was to evaluate the impact of computed tomography coronary angiography (CTCA) on the appropriate utilization of catheter angiography (CA). This observational trial analyzed all patients undergoing CA in 2006 and 2007 in one hospital. In 2007, patients having a low to intermediate cardiovascular risk and suspicion of coronary artery disease (CAD) and those with suspicion of progression of known organic heart disease (OHD) underwent CTCA either prior to CA or as the sole imaging modality. Appropriate utilization of CA was defined as: (1) percentage of patients showing normal or non-significant findings at CA, (2) percentage of self-referred patients to CA, and (3) percentage of patients with known OHD undergoing CA without immediate operative or interventional consequences. Use of CTCA resulted in a significant drop in the percentage of CA examinations in patients with suspected CAD showing normal or non-significant findings (19% in 2006, 10% in 2007,
P
|
| doi_str_mv | 10.1007/s10554-009-9541-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733299066</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733299066</sourcerecordid><originalsourceid>FETCH-LOGICAL-c413t-4570d7201493ec6fdda7ab3b4c9e8d7002fa7b53d0343edaef1cd76926ef61263</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMozjj6A9xIcOOqmlcTs5TBFwy4GcFdSJN0pkPb1KRd6K83tQMDgqtcON89OfcAcInRLUZI3EWM8pxlCMlM5gxn9AjMcS5ohgSjx-PMZZYLyWbgLMYdQoggQk_BDEtJueR4Dj7WWwerptOmh76ERgdbaQOXa-hb2CdNd13wXah07-DQV3X1rfsqab9wAnoXoPHBtzp8Qd1uKr8Jutt-nYOTUtfRXezfBXh_elwvX7LV2_Pr8mGVGYZpn7FcICsIwkxSZ3hprRa6oAUz0t1bkRKXWhQ5tYgy6qx2JTZWcEm4KzkmnC7AzeSbYn4OLvaqqaJxda1b54eoBKVESsRH8voPufNDaFM4RVJThGOcJwhPkAk-xuBKlW5v0m0KIzWWrqbSVSpdjaUrmnau9sZD0Th72Ni3nAAyATFJ7caFw8__u_4AHMuMpA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>215626115</pqid></control><display><type>article</type><title>The impact of cardiac CT on the appropriate utilization of catheter coronary angiography</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wagdi, Philipp ; Alkadhi, Hatem</creator><creatorcontrib>Wagdi, Philipp ; Alkadhi, Hatem</creatorcontrib><description>The purpose of this study was to evaluate the impact of computed tomography coronary angiography (CTCA) on the appropriate utilization of catheter angiography (CA). This observational trial analyzed all patients undergoing CA in 2006 and 2007 in one hospital. In 2007, patients having a low to intermediate cardiovascular risk and suspicion of coronary artery disease (CAD) and those with suspicion of progression of known organic heart disease (OHD) underwent CTCA either prior to CA or as the sole imaging modality. Appropriate utilization of CA was defined as: (1) percentage of patients showing normal or non-significant findings at CA, (2) percentage of self-referred patients to CA, and (3) percentage of patients with known OHD undergoing CA without immediate operative or interventional consequences. Use of CTCA resulted in a significant drop in the percentage of CA examinations in patients with suspected CAD showing normal or non-significant findings (19% in 2006, 10% in 2007,
P
< 0.001). The percentage of self-referred CA significantly dropped (29% in 2006, 10% in 2007,
P
< 0.001). CT ruled-out CAD in 74/151 (49%) patients, obviating subsequent CA. During a follow-up of 15 ± 4 months, CA and percutaneous interventions was considered necessary in 2/74 patients. CT ruled-out progression of known OHD in 53/60 (90%) patients, while one patient underwent CA and percutaneous intervention during a follow-up period of 16 ± 4 months. No reduction of CA examinations without immediate consequences was found in patients with known OHD (13% in 2006, 27% in 2007). In patients with suspicion of CAD, CTCA improved the appropriate utilization of CA without jeopardizing patient safety, along with a decrease of self-referred patients for CA. CTCA did not influence the appropriate utilization of CA in patients with known OHD.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-009-9541-3</identifier><identifier>PMID: 19936961</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cardiac Catheterization - utilization ; Cardiac Imaging ; Cardiology ; Coronary Angiography - methods ; Coronary Angiography - utilization ; Coronary Artery Disease - diagnostic imaging ; Female ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Predictive Value of Tests ; Radiology ; Referral and Consultation - utilization ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed - utilization</subject><ispartof>The International Journal of Cardiovascular Imaging, 2010-03, Vol.26 (3), p.333-344</ispartof><rights>Springer Science+Business Media, B.V. 2009</rights><rights>Springer Science+Business Media, B.V. 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-4570d7201493ec6fdda7ab3b4c9e8d7002fa7b53d0343edaef1cd76926ef61263</citedby><cites>FETCH-LOGICAL-c413t-4570d7201493ec6fdda7ab3b4c9e8d7002fa7b53d0343edaef1cd76926ef61263</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/s10554-009-9541-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-009-9541-3$$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/19936961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wagdi, Philipp</creatorcontrib><creatorcontrib>Alkadhi, Hatem</creatorcontrib><title>The impact of cardiac CT on the appropriate utilization of catheter coronary angiography</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>The purpose of this study was to evaluate the impact of computed tomography coronary angiography (CTCA) on the appropriate utilization of catheter angiography (CA). This observational trial analyzed all patients undergoing CA in 2006 and 2007 in one hospital. In 2007, patients having a low to intermediate cardiovascular risk and suspicion of coronary artery disease (CAD) and those with suspicion of progression of known organic heart disease (OHD) underwent CTCA either prior to CA or as the sole imaging modality. Appropriate utilization of CA was defined as: (1) percentage of patients showing normal or non-significant findings at CA, (2) percentage of self-referred patients to CA, and (3) percentage of patients with known OHD undergoing CA without immediate operative or interventional consequences. Use of CTCA resulted in a significant drop in the percentage of CA examinations in patients with suspected CAD showing normal or non-significant findings (19% in 2006, 10% in 2007,
P
< 0.001). The percentage of self-referred CA significantly dropped (29% in 2006, 10% in 2007,
P
< 0.001). CT ruled-out CAD in 74/151 (49%) patients, obviating subsequent CA. During a follow-up of 15 ± 4 months, CA and percutaneous interventions was considered necessary in 2/74 patients. CT ruled-out progression of known OHD in 53/60 (90%) patients, while one patient underwent CA and percutaneous intervention during a follow-up period of 16 ± 4 months. No reduction of CA examinations without immediate consequences was found in patients with known OHD (13% in 2006, 27% in 2007). In patients with suspicion of CAD, CTCA improved the appropriate utilization of CA without jeopardizing patient safety, along with a decrease of self-referred patients for CA. CTCA did not influence the appropriate utilization of CA in patients with known OHD.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Catheterization - utilization</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Angiography - utilization</subject><subject>Coronary Artery Disease - 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>Original Paper</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Referral and Consultation - utilization</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed - utilization</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEtLxDAUhYMozjj6A9xIcOOqmlcTs5TBFwy4GcFdSJN0pkPb1KRd6K83tQMDgqtcON89OfcAcInRLUZI3EWM8pxlCMlM5gxn9AjMcS5ohgSjx-PMZZYLyWbgLMYdQoggQk_BDEtJueR4Dj7WWwerptOmh76ERgdbaQOXa-hb2CdNd13wXah07-DQV3X1rfsqab9wAnoXoPHBtzp8Qd1uKr8Jutt-nYOTUtfRXezfBXh_elwvX7LV2_Pr8mGVGYZpn7FcICsIwkxSZ3hprRa6oAUz0t1bkRKXWhQ5tYgy6qx2JTZWcEm4KzkmnC7AzeSbYn4OLvaqqaJxda1b54eoBKVESsRH8voPufNDaFM4RVJThGOcJwhPkAk-xuBKlW5v0m0KIzWWrqbSVSpdjaUrmnau9sZD0Th72Ni3nAAyATFJ7caFw8__u_4AHMuMpA</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Wagdi, Philipp</creator><creator>Alkadhi, Hatem</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></search><sort><creationdate>20100301</creationdate><title>The impact of cardiac CT on the appropriate utilization of catheter coronary angiography</title><author>Wagdi, Philipp ; Alkadhi, Hatem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-4570d7201493ec6fdda7ab3b4c9e8d7002fa7b53d0343edaef1cd76926ef61263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Catheterization - utilization</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Angiography - utilization</topic><topic>Coronary Artery Disease - 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>Original Paper</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Referral and Consultation - utilization</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wagdi, Philipp</creatorcontrib><creatorcontrib>Alkadhi, Hatem</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><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wagdi, Philipp</au><au>Alkadhi, Hatem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of cardiac CT on the appropriate utilization of catheter coronary angiography</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>26</volume><issue>3</issue><spage>333</spage><epage>344</epage><pages>333-344</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><coden>IJCIBI</coden><abstract>The purpose of this study was to evaluate the impact of computed tomography coronary angiography (CTCA) on the appropriate utilization of catheter angiography (CA). This observational trial analyzed all patients undergoing CA in 2006 and 2007 in one hospital. In 2007, patients having a low to intermediate cardiovascular risk and suspicion of coronary artery disease (CAD) and those with suspicion of progression of known organic heart disease (OHD) underwent CTCA either prior to CA or as the sole imaging modality. Appropriate utilization of CA was defined as: (1) percentage of patients showing normal or non-significant findings at CA, (2) percentage of self-referred patients to CA, and (3) percentage of patients with known OHD undergoing CA without immediate operative or interventional consequences. Use of CTCA resulted in a significant drop in the percentage of CA examinations in patients with suspected CAD showing normal or non-significant findings (19% in 2006, 10% in 2007,
P
< 0.001). The percentage of self-referred CA significantly dropped (29% in 2006, 10% in 2007,
P
< 0.001). CT ruled-out CAD in 74/151 (49%) patients, obviating subsequent CA. During a follow-up of 15 ± 4 months, CA and percutaneous interventions was considered necessary in 2/74 patients. CT ruled-out progression of known OHD in 53/60 (90%) patients, while one patient underwent CA and percutaneous intervention during a follow-up period of 16 ± 4 months. No reduction of CA examinations without immediate consequences was found in patients with known OHD (13% in 2006, 27% in 2007). In patients with suspicion of CAD, CTCA improved the appropriate utilization of CA without jeopardizing patient safety, along with a decrease of self-referred patients for CA. CTCA did not influence the appropriate utilization of CA in patients with known OHD.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>19936961</pmid><doi>10.1007/s10554-009-9541-3</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1569-5794 |
| ispartof | The International Journal of Cardiovascular Imaging, 2010-03, Vol.26 (3), p.333-344 |
| issn | 1569-5794 1573-0743 1875-8312 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733299066 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Cardiac Catheterization - utilization Cardiac Imaging Cardiology Coronary Angiography - methods Coronary Angiography - utilization Coronary Artery Disease - diagnostic imaging Female Humans Imaging Male Medicine Medicine & Public Health Middle Aged Original Paper Predictive Value of Tests Radiology Referral and Consultation - utilization Retrospective Studies Time Factors Tomography, X-Ray Computed - utilization |
| title | The impact of cardiac CT on the appropriate utilization of catheter coronary angiography |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T11%3A53%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20cardiac%20CT%20on%20the%20appropriate%20utilization%20of%20catheter%20coronary%20angiography&rft.jtitle=The%20International%20Journal%20of%20Cardiovascular%20Imaging&rft.au=Wagdi,%20Philipp&rft.date=2010-03-01&rft.volume=26&rft.issue=3&rft.spage=333&rft.epage=344&rft.pages=333-344&rft.issn=1569-5794&rft.eissn=1573-0743&rft.coden=IJCIBI&rft_id=info:doi/10.1007/s10554-009-9541-3&rft_dat=%3Cproquest_cross%3E733299066%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=215626115&rft_id=info:pmid/19936961&rfr_iscdi=true |