Diagnostic and Interventional Radiology
Cardiovascular Imaging - Review

Clinical situations in which coronary CT angiography confers superior diagnostic information compared with coronary angiography

1.

Department of Radiology, Atatürk University Faculty of Medicine, Erzurum, Turkey

2.

Department of Radiology, Erciyes University School of Medicine, Kayseri, Turkey

3.

Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey

4.

Department of Diagnostic Radiology, University of Pamukkale, Denizli, Turkey

5.

Department of Cardiology, Atatürk University School of Medicine, Erzurum, Turkey

6.

Department of Radiology, Atatürk University School of Medicine, Erzurum, Turkey

7.

Kadir Has Üniversitesi Tıp Fakültesi, Radyodiagnostik Anabilim Dalı

8.

Department of Radiology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey.

9.

Department of Radiology, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts, USA

Diagn Interv Radiol 2012; 18: 261-269
DOI: 10.4261/1305-3825.DIR.5064-11.1
Read: 522 Downloads: 287 Published: 03 September 2019

Abstract

In this review, we aimed to outline the clinical and pathological conditions for which multidetector computed tomography coronary angiography (MDCT-CA) should be the preferred method because of its advantages over conventional coronary angiography (CCA). A consistent body of literature suggests that MDCT-CA is more than just complementary to CCA and that it provides more valuable diagnostic information in certain clinical situations, such as complex coronary artery variations, aorto-ostial lesions, follow-up of bypass grafts, myocardial bridging, coronary artery fistulas, aortic and coronary artery dissections, and cases in which the coronary ostia cannot be cannulated by a catheter because of massive atherosclerosis or extremely tortuous vascular structures.

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EISSN 1305-3612