Semiquantitative evaluation of in-stent restenosis in coronary arteries with MDCT

PENG Zhi-yuan; WANG Jun; CHEN Yan; CHEN Xin; ZHANG Xue-lian; CHEN Xian-feng; MA Bing-yi

Journal of China Clinic Medical Imaging ›› 2008, Vol. 19 ›› Issue (12) : 883-887.

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Semiquantitative evaluation of in-stent restenosis in coronary arteries with MDCT

PENG Zhi-yuan, WANG Jun, CHEN Yan, CHEN Xin, ZHANG Xue-lian, CHEN Xian-feng, MA Bing-yi

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Abstract

Objective: To evaluate the clinical value of multidetector computed tomographic angiography(MDCTA) in the judgement of in-stent restenosis(ISR) after coronary stenting. Materials and Methods: Thirty-four patients who had been performed coronary stenting with 65 stents were included in the study. All the patients were examined by 64-row MDCTA and invasive coronary angiography for evaluating ISR after coronary stenting. Results: These findings resulted in a sensitivity of 82.4%, specificity of 97.9%, false positive rate of 2.1%, false negative rate of 17.6%, coincidence rate of 93.8%, positive predictive value of 93.3%, and negative predictive value of 94.0%, respectively. Conclusion: MDCTA seems to be an effective imaging modality in identifying ISR and can evaluate ISR semiquantitatively.

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Coronary restenosis / Stents / Tomography / spiral computed

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PENG Zhi-yuan;WANG Jun;CHEN Yan;CHEN Xin;ZHANG Xue-lian;CHEN Xian-feng;MA Bing-yi. Semiquantitative evaluation of in-stent restenosis in coronary arteries with MDCT[J]. Journal of China Clinic Medical Imaging. 2008, 19(12): 883-887