Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency.
Introduction Symptoms recurrence after surgical coronary artery revascularization requiresthe assessment of graft patency. At the moment, promissory results havebeen reported using the multislice computed tomography.Objective To determine the 64 multislice computed tomography diagnostic value of gra...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2011-01-01
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| Series: | Revista Cubana de Cardiología y Cirugía Cardiovascular |
| Subjects: | |
| Online Access: | http://bvs.sld.cu/revistas/car/vol17_1_11/car12111.pdf |
| _version_ | 1818556850950373376 |
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| author | Vladimir Mendoza Rodríguez Luis R. Llerena Rojas Eddy W. Olivares Aquiles Katia Fernández Herrera Romualdo Linares Machado Eliezer San Roman Eddy Morales Luis M. Morales Pérez Alain Zaldivar O´Farril |
| author_facet | Vladimir Mendoza Rodríguez Luis R. Llerena Rojas Eddy W. Olivares Aquiles Katia Fernández Herrera Romualdo Linares Machado Eliezer San Roman Eddy Morales Luis M. Morales Pérez Alain Zaldivar O´Farril |
| author_sort | Vladimir Mendoza Rodríguez |
| collection | DOAJ |
| description | Introduction Symptoms recurrence after surgical coronary artery revascularization requiresthe assessment of graft patency. At the moment, promissory results havebeen reported using the multislice computed tomography.Objective To determine the 64 multislice computed tomography diagnostic value of graftpatency.Method We included 65 patients with 178 coronary graft and symptoms recurrence. Initiallythey underwent a 64 multislice computed tomography scan with furtherassessment by invasive coronary angiography as gold standard reference. Parametersof diagnostic efficiency were determined as well as X2-test. Level ofsignificance was p<0.05.Results Total analysis of venous (n=116) and arterials (n=62) graft showed a sensitivity,specificity, positive and negative predictive value and validity of 100 %,with Kappa Index of 1 (IC95%,1-1), (p≤0,00001) for the diagnosis of totalocclusion by 64 multislice computed tomography assessment. Sensitivity,specificity, positive and negative predictive value of computed tomographyfor the diagnosis of significant stenosis of the 114 coronary graft without totalocclusion was 95; 98; 91 and 99% respectively with validity of 97% and KappaIndex of 0,92 (IC95% (p.0,00001), 0,82-1).Conclusions Multislice computed tomography coronary angiography is a precise non invasiveimaging technique for the detection of total occlusion and significant stenosisof the coronary graft. |
| first_indexed | 2024-12-13T23:52:33Z |
| format | Article |
| id | doaj.art-7b7966de78a1439296a81c89358a9b20 |
| institution | Directory Open Access Journal |
| issn | 0864-2168 1561-2937 |
| language | Spanish |
| last_indexed | 2024-12-13T23:52:33Z |
| publishDate | 2011-01-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Cardiología y Cirugía Cardiovascular |
| spelling | doaj.art-7b7966de78a1439296a81c89358a9b202022-12-21T23:26:43ZspaECIMEDRevista Cubana de Cardiología y Cirugía Cardiovascular0864-21681561-29372011-01-0117190101Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency.Vladimir Mendoza RodríguezLuis R. Llerena RojasEddy W. Olivares AquilesKatia Fernández HerreraRomualdo Linares MachadoEliezer San RomanEddy MoralesLuis M. Morales PérezAlain Zaldivar O´FarrilIntroduction Symptoms recurrence after surgical coronary artery revascularization requiresthe assessment of graft patency. At the moment, promissory results havebeen reported using the multislice computed tomography.Objective To determine the 64 multislice computed tomography diagnostic value of graftpatency.Method We included 65 patients with 178 coronary graft and symptoms recurrence. Initiallythey underwent a 64 multislice computed tomography scan with furtherassessment by invasive coronary angiography as gold standard reference. Parametersof diagnostic efficiency were determined as well as X2-test. Level ofsignificance was p<0.05.Results Total analysis of venous (n=116) and arterials (n=62) graft showed a sensitivity,specificity, positive and negative predictive value and validity of 100 %,with Kappa Index of 1 (IC95%,1-1), (p≤0,00001) for the diagnosis of totalocclusion by 64 multislice computed tomography assessment. Sensitivity,specificity, positive and negative predictive value of computed tomographyfor the diagnosis of significant stenosis of the 114 coronary graft without totalocclusion was 95; 98; 91 and 99% respectively with validity of 97% and KappaIndex of 0,92 (IC95% (p.0,00001), 0,82-1).Conclusions Multislice computed tomography coronary angiography is a precise non invasiveimaging technique for the detection of total occlusion and significant stenosisof the coronary graft.http://bvs.sld.cu/revistas/car/vol17_1_11/car12111.pdfcoronary graftmultislice computed tomographyinvasive coronary angiography. |
| spellingShingle | Vladimir Mendoza Rodríguez Luis R. Llerena Rojas Eddy W. Olivares Aquiles Katia Fernández Herrera Romualdo Linares Machado Eliezer San Roman Eddy Morales Luis M. Morales Pérez Alain Zaldivar O´Farril Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. Revista Cubana de Cardiología y Cirugía Cardiovascular coronary graft multislice computed tomography invasive coronary angiography. |
| title | Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. |
| title_full | Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. |
| title_fullStr | Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. |
| title_full_unstemmed | Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. |
| title_short | Valor de la tomografía de 64 cortes en el diagnóstico de la permeabilidad de los injertos aortocoronarios. Diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency. |
| title_sort | valor de la tomografia de 64 cortes en el diagnostico de la permeabilidad de los injertos aortocoronarios diagnostic value of 64 multislice computed tomography in the assessment of the coronary graft patency |
| topic | coronary graft multislice computed tomography invasive coronary angiography. |
| url | http://bvs.sld.cu/revistas/car/vol17_1_11/car12111.pdf |
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