Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden cardiac death related to atherosclerotic coronary artery disease.

Détails

Ressource 1Télécharger: 22238022_pp_cover.pdf (2248.66 [Ko])
Etat: Serval
Version: Author's accepted manuscript
ID Serval
serval:BIB_21578D7D2254
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden cardiac death related to atherosclerotic coronary artery disease.
Périodique
The international journal of cardiovascular imaging
Auteur(s)
Michaud K., Grabherr S., Doenz F., Mangin P.
ISSN
1875-8312 (Electronic)
ISSN-L
1569-5794
Statut éditorial
Publié
Date de publication
10/2012
Peer-reviewed
Oui
Volume
28
Numéro
7
Pages
1807-1822
Langue
anglais
Notes
Publication types: Comparative Study ; Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
The goal of this study was to evaluate the diagnostic value of postmortem multi-computed tomography (MDCT) and MDCT-angiography for sudden cardiac deaths related to ischemic heart disease. Twenty three cases were selected based on clinical history and the results of native MDCT, multiphase post-mortem CT-angiography and conventional autopsy were compared. Radiological examination showed calcification of coronary arteries in 78% of the cases, most of which were not detailed at autopsy. MDCT-angiography allowed better visualization of the coronary arteries than MDCT and permitted the evaluation of stenoses and occlusions. Of the 14 cases of coronary thrombosis detected at conventional autopsy, 11 were visible as stop of perfusion with CT-angiography and three were found to be partly perfused. One case had an old thrombosis with collateral circulation. One case had a coronary artery postmortem clot found with MDCT-angiography. Coronary artery calcifications are more easily detected and documented with radiological examination than with conventional autopsy. MDCT is of limited diagnostic value for ischemic heart disease. MDCT-angiography, when correctly interpreted, is a reasonable tool to view the morphology of coronary arteries, rule out significant coronary artery stenoses, identify occlusions and direct sampling for histological examination.
Mots-clé
Adult, Aged, Aged, 80 and over, Autopsy, Coronary Angiography/methods, Coronary Artery Disease/complications, Coronary Artery Disease/diagnostic imaging, Coronary Artery Disease/pathology, Coronary Stenosis/diagnostic imaging, Coronary Stenosis/pathology, Coronary Thrombosis/diagnostic imaging, Coronary Thrombosis/pathology, Coronary Vessels/pathology, Death, Sudden, Cardiac/etiology, Death, Sudden, Cardiac/pathology, Female, Humans, Male, Middle Aged, Pilot Projects, Predictive Value of Tests, Retrospective Studies, Tomography, X-Ray Computed, Vascular Calcification/diagnostic imaging, Vascular Calcification/pathology
Pubmed
Web of science
Création de la notice
31/01/2012 17:54
Dernière modification de la notice
06/06/2018 7:08
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