MSCT vs Angiografa(64 detectores)Assessment of CAD by Cardiac CT. Circulation Oct 2006

Autor(ao) N.PacientesN.Seg NO EvaluablesSensib. (%)Especific. (%)NPV (%)Leschka(2006) 67...949799Raff(2006) 7012869598Leber(2006) 59...889799Mollet(2006)522999599Ropers(2006)824959399Fine(2006) 666959695

AHA Scientific StatementPacientes sintomticos con test funcionales no concluyentes en los cuales se considere necesario descartar enfermedad coronaria obstructiva.(Clase IIa , nivel de evidencia B)Pacientes asintomticos para determinar presencia de enferemedad aterosclertica como screening(Clase III , nivel de evidencia C)Assessment of CAD by Cardiac CT. Circulation Oct 2006

Valor de la medicin con UH0-20: Trombo30-50: Placa lipdica70-100: Placa fibrosa100: Miocardio 200-400: Contraste Iodado (fase arterial)400-1200: Calcio Coronario

Limitaciones de CTA: Calcio

Limitaciones de CTA: Extrasistolia o frecuencia cardaca irregular

Limitaciones de CTA: Metal

Limitaciones de CTA: MetalDiseo y Material del StentTamao del StentTipo de scaner4-16-32-40-64128 detectores

Limitaciones de CTA: Metal

Limitaciones de CTA: Movimiento Cardaco Velocidad picoFin de sistoleMitad-fin de diastole203575

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Sheet1

Origin

Marginal Bifurcation

Sheet2

Sheet3

Limitaciones de CTA: Movimiento Cardaco75%80%

Swivel

Evaluacin Post-CRM

AHA Scientific StatementSeguimiento de pacientes con CRM previa para valorar estado de permeabilidad de puentes arteriales y venosos, y estimar grado de estenosis(Clase IIb , nivel de evidencia C)

Assessment of CAD by Cardiac CT. Circulation Oct 2006

Funcin Ventricular con MSCT

Am J Roen 2005;184:765-773Conclusin:Tanto manual como en forma automtica la TCMS es un mtodo comparable a la RMpara evaluacin y seguimiento de la funcin ventricular.