Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves
Objectives Patients with prosthetic heart valves may require assessment for coronary artery disease. We assessed whether valve artefacts hamper coronary artery assessment by multidetector CT. Methods ECG-gated or -triggered CT angiograms were selected from our PACS archive based on the presence of p...
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| Veröffentlicht in: | European radiology 2012-06, Vol.22 (6), p.1278-1286 |
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| creator | Habets, Jesse van den Brink, Renee B. A. Uijlings, Ruben Spijkerboer, Anje M. Mali, Willem P. Th. M. Chamuleau, Steven A. J. Budde, Ricardo P. J. |
| description | Objectives
Patients with prosthetic heart valves may require assessment for coronary artery disease. We assessed whether valve artefacts hamper coronary artery assessment by multidetector CT.
Methods
ECG-gated or -triggered CT angiograms were selected from our PACS archive based on the presence of prosthetic heart valves. The best systolic and diastolic axial reconstructions were selected for coronary assessment. Each present coronary segment was scored for the presence of valve-related artefacts prohibiting coronary artery assessment. Scoring was performed in consensus by two observers.
Results
Eighty-two CT angiograms were performed on a 64-slice (
n
= 27) or 256-slice (
n
= 55) multidetector CT. Eighty-nine valves and five annuloplasty rings were present. Forty-three out of 1160 (3.7%) present coronary artery segments were non-diagnostic due to valve artefacts (14/82 patients). Valve artefacts were located in right coronary artery (15/43; 35%), left anterior descending artery (2/43; 5%), circumflex artery (14/43; 32%) and marginal obtuse (12/43; 28%) segments. All cobalt-chrome containing valves caused artefacts prohibiting coronary assessment. Biological and titanium-containing valves did not cause artefacts except for three specific valve types.
Conclusions
Most commonly implanted prosthetic heart valves do not hamper coronary assessment on multidetector CT. Cobalt-chrome containing prosthetic heart valves preclude complete coronary artery assessment because of severe valve artefacts.
Key Points
•
Most commonly implanted prosthetic heart valves do not hamper coronary artery assessment
•
Prosthetic heart valve composition determines the occurrence of prosthetic heart valve-related artefacts
•
Björk–Shiley and Sorin tilting disc valves preclude diagnostic coronary artery segment assessment |
| doi_str_mv | 10.1007/s00330-011-2360-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3348483</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1012210293</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-70a94bbf96fb037289a4c9e69477f8083663594676a28d92464704447f71a9643</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVJaDZpf0AvRZBLL25GH6uPSyEsbVII5JKeheyV1wq25Urylv33ldkkpIGe5jDPvDPvvAh9IvCVAMirBMAYVEBIRZmASr5DK8IZrQgofoJWoJmqpNb8DJ2n9AgAmnD5Hp1RSjRjkqxQtwkxjDYesI3ZLSUll9LgxozrAx7mPvuty67JIeImDNOc3RbnMIRdtFN3wH7Ek82-8An_8bnDUwwpdy77BneuiOK97fcufUCnre2T-_hUL9CvH98fNrfV3f3Nz831XdVwCbmSYDWv61aLtgYmqdKWN9oJzaVsFSgmBFtrLqSwVG015aKMcc5lK4nVgrML9O2oO8314LZNOSza3kzRD8WlCdabfzuj78wu7A1jXHHFisCXJ4EYfs8uZTP41Li-t6MLczIESHkfUL2gl2_QxzDHsdhbqJLIeq1UociRaspnUnTtyzEEzJKjOeZoSo5mydHIMvP5tYuXiefgCkCPQCqtcefi69X_U_0LoOCpoQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1013605588</pqid></control><display><type>article</type><title>Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Habets, Jesse ; van den Brink, Renee B. A. ; Uijlings, Ruben ; Spijkerboer, Anje M. ; Mali, Willem P. Th. M. ; Chamuleau, Steven A. J. ; Budde, Ricardo P. J.</creator><creatorcontrib>Habets, Jesse ; van den Brink, Renee B. A. ; Uijlings, Ruben ; Spijkerboer, Anje M. ; Mali, Willem P. Th. M. ; Chamuleau, Steven A. J. ; Budde, Ricardo P. J.</creatorcontrib><description>Objectives
Patients with prosthetic heart valves may require assessment for coronary artery disease. We assessed whether valve artefacts hamper coronary artery assessment by multidetector CT.
Methods
ECG-gated or -triggered CT angiograms were selected from our PACS archive based on the presence of prosthetic heart valves. The best systolic and diastolic axial reconstructions were selected for coronary assessment. Each present coronary segment was scored for the presence of valve-related artefacts prohibiting coronary artery assessment. Scoring was performed in consensus by two observers.
Results
Eighty-two CT angiograms were performed on a 64-slice (
n
= 27) or 256-slice (
n
= 55) multidetector CT. Eighty-nine valves and five annuloplasty rings were present. Forty-three out of 1160 (3.7%) present coronary artery segments were non-diagnostic due to valve artefacts (14/82 patients). Valve artefacts were located in right coronary artery (15/43; 35%), left anterior descending artery (2/43; 5%), circumflex artery (14/43; 32%) and marginal obtuse (12/43; 28%) segments. All cobalt-chrome containing valves caused artefacts prohibiting coronary assessment. Biological and titanium-containing valves did not cause artefacts except for three specific valve types.
Conclusions
Most commonly implanted prosthetic heart valves do not hamper coronary assessment on multidetector CT. Cobalt-chrome containing prosthetic heart valves preclude complete coronary artery assessment because of severe valve artefacts.
Key Points
•
Most commonly implanted prosthetic heart valves do not hamper coronary artery assessment
•
Prosthetic heart valve composition determines the occurrence of prosthetic heart valve-related artefacts
•
Björk–Shiley and Sorin tilting disc valves preclude diagnostic coronary artery segment assessment</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-011-2360-7</identifier><identifier>PMID: 22193371</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject><![CDATA[Abdomen ; Archives & records ; Cardiac ; Cardiac-Gated Imaging Techniques - statistics & numerical data ; Cardiology ; Cardiovascular disease ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - epidemiology ; Coronary vessels ; Diagnostic Radiology ; Female ; Heart rate ; Heart Valve Prosthesis - statistics & numerical data ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Netherlands - epidemiology ; Neuroradiology ; Patients ; Prevalence ; Prostheses ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Tomography ; Tomography, X-Ray Computed - statistics & numerical data ; Ultrasound ; Vein & artery diseases]]></subject><ispartof>European radiology, 2012-06, Vol.22 (6), p.1278-1286</ispartof><rights>The Author(s) 2011</rights><rights>European Society of Radiology 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-70a94bbf96fb037289a4c9e69477f8083663594676a28d92464704447f71a9643</citedby><cites>FETCH-LOGICAL-c470t-70a94bbf96fb037289a4c9e69477f8083663594676a28d92464704447f71a9643</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/s00330-011-2360-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-011-2360-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22193371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Habets, Jesse</creatorcontrib><creatorcontrib>van den Brink, Renee B. A.</creatorcontrib><creatorcontrib>Uijlings, Ruben</creatorcontrib><creatorcontrib>Spijkerboer, Anje M.</creatorcontrib><creatorcontrib>Mali, Willem P. Th. M.</creatorcontrib><creatorcontrib>Chamuleau, Steven A. J.</creatorcontrib><creatorcontrib>Budde, Ricardo P. J.</creatorcontrib><title>Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
Patients with prosthetic heart valves may require assessment for coronary artery disease. We assessed whether valve artefacts hamper coronary artery assessment by multidetector CT.
Methods
ECG-gated or -triggered CT angiograms were selected from our PACS archive based on the presence of prosthetic heart valves. The best systolic and diastolic axial reconstructions were selected for coronary assessment. Each present coronary segment was scored for the presence of valve-related artefacts prohibiting coronary artery assessment. Scoring was performed in consensus by two observers.
Results
Eighty-two CT angiograms were performed on a 64-slice (
n
= 27) or 256-slice (
n
= 55) multidetector CT. Eighty-nine valves and five annuloplasty rings were present. Forty-three out of 1160 (3.7%) present coronary artery segments were non-diagnostic due to valve artefacts (14/82 patients). Valve artefacts were located in right coronary artery (15/43; 35%), left anterior descending artery (2/43; 5%), circumflex artery (14/43; 32%) and marginal obtuse (12/43; 28%) segments. All cobalt-chrome containing valves caused artefacts prohibiting coronary assessment. Biological and titanium-containing valves did not cause artefacts except for three specific valve types.
Conclusions
Most commonly implanted prosthetic heart valves do not hamper coronary assessment on multidetector CT. Cobalt-chrome containing prosthetic heart valves preclude complete coronary artery assessment because of severe valve artefacts.
Key Points
•
Most commonly implanted prosthetic heart valves do not hamper coronary artery assessment
•
Prosthetic heart valve composition determines the occurrence of prosthetic heart valve-related artefacts
•
Björk–Shiley and Sorin tilting disc valves preclude diagnostic coronary artery segment assessment</description><subject>Abdomen</subject><subject>Archives & records</subject><subject>Cardiac</subject><subject>Cardiac-Gated Imaging Techniques - statistics & numerical data</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - epidemiology</subject><subject>Coronary vessels</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Heart rate</subject><subject>Heart Valve Prosthesis - statistics & numerical data</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Netherlands - epidemiology</subject><subject>Neuroradiology</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Prostheses</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed - statistics & numerical data</subject><subject>Ultrasound</subject><subject>Vein & artery diseases</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1r3DAQhkVJaDZpf0AvRZBLL25GH6uPSyEsbVII5JKeheyV1wq25Urylv33ldkkpIGe5jDPvDPvvAh9IvCVAMirBMAYVEBIRZmASr5DK8IZrQgofoJWoJmqpNb8DJ2n9AgAmnD5Hp1RSjRjkqxQtwkxjDYesI3ZLSUll9LgxozrAx7mPvuty67JIeImDNOc3RbnMIRdtFN3wH7Ek82-8An_8bnDUwwpdy77BneuiOK97fcufUCnre2T-_hUL9CvH98fNrfV3f3Nz831XdVwCbmSYDWv61aLtgYmqdKWN9oJzaVsFSgmBFtrLqSwVG015aKMcc5lK4nVgrML9O2oO8314LZNOSza3kzRD8WlCdabfzuj78wu7A1jXHHFisCXJ4EYfs8uZTP41Li-t6MLczIESHkfUL2gl2_QxzDHsdhbqJLIeq1UociRaspnUnTtyzEEzJKjOeZoSo5mydHIMvP5tYuXiefgCkCPQCqtcefi69X_U_0LoOCpoQ</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Habets, Jesse</creator><creator>van den Brink, Renee B. A.</creator><creator>Uijlings, Ruben</creator><creator>Spijkerboer, Anje M.</creator><creator>Mali, Willem P. Th. M.</creator><creator>Chamuleau, Steven A. J.</creator><creator>Budde, Ricardo P. J.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>C6C</scope><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>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120601</creationdate><title>Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves</title><author>Habets, Jesse ; van den Brink, Renee B. A. ; Uijlings, Ruben ; Spijkerboer, Anje M. ; Mali, Willem P. Th. M. ; Chamuleau, Steven A. J. ; Budde, Ricardo P. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-70a94bbf96fb037289a4c9e69477f8083663594676a28d92464704447f71a9643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdomen</topic><topic>Archives & records</topic><topic>Cardiac</topic><topic>Cardiac-Gated Imaging Techniques - statistics & numerical data</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Coronary vessels</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Heart rate</topic><topic>Heart Valve Prosthesis - statistics & numerical data</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Netherlands - epidemiology</topic><topic>Neuroradiology</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Prostheses</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed - statistics & numerical data</topic><topic>Ultrasound</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Habets, Jesse</creatorcontrib><creatorcontrib>van den Brink, Renee B. A.</creatorcontrib><creatorcontrib>Uijlings, Ruben</creatorcontrib><creatorcontrib>Spijkerboer, Anje M.</creatorcontrib><creatorcontrib>Mali, Willem P. Th. M.</creatorcontrib><creatorcontrib>Chamuleau, Steven A. J.</creatorcontrib><creatorcontrib>Budde, Ricardo P. J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</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>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</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>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</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>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Habets, Jesse</au><au>van den Brink, Renee B. A.</au><au>Uijlings, Ruben</au><au>Spijkerboer, Anje M.</au><au>Mali, Willem P. Th. M.</au><au>Chamuleau, Steven A. J.</au><au>Budde, Ricardo P. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>22</volume><issue>6</issue><spage>1278</spage><epage>1286</epage><pages>1278-1286</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
Patients with prosthetic heart valves may require assessment for coronary artery disease. We assessed whether valve artefacts hamper coronary artery assessment by multidetector CT.
Methods
ECG-gated or -triggered CT angiograms were selected from our PACS archive based on the presence of prosthetic heart valves. The best systolic and diastolic axial reconstructions were selected for coronary assessment. Each present coronary segment was scored for the presence of valve-related artefacts prohibiting coronary artery assessment. Scoring was performed in consensus by two observers.
Results
Eighty-two CT angiograms were performed on a 64-slice (
n
= 27) or 256-slice (
n
= 55) multidetector CT. Eighty-nine valves and five annuloplasty rings were present. Forty-three out of 1160 (3.7%) present coronary artery segments were non-diagnostic due to valve artefacts (14/82 patients). Valve artefacts were located in right coronary artery (15/43; 35%), left anterior descending artery (2/43; 5%), circumflex artery (14/43; 32%) and marginal obtuse (12/43; 28%) segments. All cobalt-chrome containing valves caused artefacts prohibiting coronary assessment. Biological and titanium-containing valves did not cause artefacts except for three specific valve types.
Conclusions
Most commonly implanted prosthetic heart valves do not hamper coronary assessment on multidetector CT. Cobalt-chrome containing prosthetic heart valves preclude complete coronary artery assessment because of severe valve artefacts.
Key Points
•
Most commonly implanted prosthetic heart valves do not hamper coronary artery assessment
•
Prosthetic heart valve composition determines the occurrence of prosthetic heart valve-related artefacts
•
Björk–Shiley and Sorin tilting disc valves preclude diagnostic coronary artery segment assessment</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22193371</pmid><doi>10.1007/s00330-011-2360-7</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2012-06, Vol.22 (6), p.1278-1286 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3348483 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdomen Archives & records Cardiac Cardiac-Gated Imaging Techniques - statistics & numerical data Cardiology Cardiovascular disease Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - epidemiology Coronary vessels Diagnostic Radiology Female Heart rate Heart Valve Prosthesis - statistics & numerical data Humans Imaging Internal Medicine Interventional Radiology Male Medical imaging Medicine Medicine & Public Health Middle Aged Netherlands - epidemiology Neuroradiology Patients Prevalence Prostheses Radiology Reproducibility of Results Retrospective Studies Sensitivity and Specificity Tomography Tomography, X-Ray Computed - statistics & numerical data Ultrasound Vein & artery diseases |
| title | Coronary artery assessment by multidetector computed tomography in patients with prosthetic heart valves |
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