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Noninvasive assessment of coronary stents in patients by 16-slice computed tomography

https://hiroshima.repo.nii.ac.jp/records/2007086
https://hiroshima.repo.nii.ac.jp/records/2007086
98a71340-6b85-4aa3-88e7-80108d143125
名前 / ファイル ライセンス アクション
IJC_109_188.pdf IJC_109_188.pdf (7.4 MB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Noninvasive assessment of coronary stents in patients by 16-slice computed tomography
言語 en
作成者 Kitagawa, Toshiro

× Kitagawa, Toshiro

en Kitagawa, Toshiro

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Fujii, Takashi

× Fujii, Takashi

en Fujii, Takashi

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Tomohiro, Yasuyuki

× Tomohiro, Yasuyuki

en Tomohiro, Yasuyuki

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Maeda, Kouji

× Maeda, Kouji

en Maeda, Kouji

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Kobayashi, Masakazu

× Kobayashi, Masakazu

en Kobayashi, Masakazu

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Kunita, Eiji

× Kunita, Eiji

en Kunita, Eiji

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Sekiguchi, Yoshitaka

× Sekiguchi, Yoshitaka

en Sekiguchi, Yoshitaka

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 Copyright (c) 2006 Elsevier Ltd.
主題
主題Scheme Other
主題 Coronary stent
主題
主題Scheme Other
主題 Restenosis
主題
主題Scheme Other
主題 MDC
主題
主題Scheme NDC
主題 490
内容記述
内容記述 Background: The usefulness of thin-slice mult-detector computed tomography (MDCT) has been highly expected to assess the lumens of coronary artery stents. We evaluated the usefulness of 16-slice MDCT to assess the in-stent lumen after coronary artery stenting. Methods: In 42 consecutive patients after coronary artery stenting, retrospective ECG-gated CT-angiography using 16-slice MDCT (0.5sec rotation time, 16×0.625-mm detector collimation) was performed. The qualitative assessability of the lumens of 61 coronary stents (14 different types) by MDCT and the reasons for nonassessability were investigated. Furthermore, the evaluation of in-stent restenosis in 21 assessable stents of 16 patients, including quantitative density analysis by MDCT, was performed and the results were compared with those of conventional coronary angiography (CAG). Results: Of 61 stents, 42 (68.9%) were assessable. The assessability of diameter 3.5-mm stents made of stainless steel or cobalt was high (88.6%, 31/35), that of 3.0-mm stents was low (57.9%, 11/19) and all 2.5-mm stents were non-assessable due to partial volume effects and metal artifacts of stents. The lumens of stents made of tantalum were totally obscured and the metal artifacts of Bestent2 (gold markers) and S670 were severer than others. All non-assessable stents due to banding artifact and calcification were implanted in segment #1-3 and #6, respectively. In comparison to CAG, MDCT correctly detected the 5 in-stent restenoses and identified absence of restenosis in the remaining 16 stents. The quantitative density analysis of in-stent restenoses was influenced strongly by the stent strut. Conclusion: Despite some limitations, 16-slice MSCT is sufficiently useful for assessment of various coronary stents in patients and can detect in-stent restenoses of assessable stents with high accuracy in comparison to CAG.
言語 en
出版者
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ AO
出版タイプResource http://purl.org/coar/version/c_b1a7d7d4d402bcce
関連情報
識別子タイプ DOI
関連識別子 10.1016/j.ijcard.2005.06.012
関連情報
識別子タイプ PMID
関連識別子 16019087
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 http://dx.doi.org/10.1016/j.ijcard.2005.06.012
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0167-5273
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA11530930
開始ページ
開始ページ 188
書誌情報 International Journal of Cardiology
International Journal of Cardiology

巻 109, 号 2, p. 188-194, 発行日 2006-05-10
旧ID 17083
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