Improved diagnostic accuracy with 16-row multi-slice computed tomography coronary angiography
Nico R. Mollet, MD*, ,
Filippo Cademartiri, MD,
Gabriel P. Krestin, MD,
Eugène P. McFadden, MB, FACC*,
Chourmouzios A. Arampatzis, MD*,
Patrick W. Serruys, MD, FACC* and
Pim J. de Feyter, MD, FACC*,,*
* Departments of Cardiology
Radiology, Erasmus Medical Center, Rotterdam, the Netherlands
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Figure 1 (a) Volume rendered computed tomography (CT) images (A, B) reveal the presence of two stenoses (arrow, arrowhead) located at the circumflex coronary artery (CX), which was confirmed on the conventional angiogram (C). (b) Maximum intensity projected (A) and curved multiplanar reconstructed (C) CT images showing the trajectory of the circumflex coronary artery (CX), which ends almost at the right coronary sinus. Arrows indicate stenoses. These findings were confirmed on conventional angiography (B). Ao = aorta; LAD = left anterior descending coronary artery; M = marginal branch.
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Figure 2 Volume rendered (colored image), maximum intensity projected (MIP), and curved multiplanar reconstructed (cMPR) computed tomography images demonstrate a significantly obstructed left anterior descending coronary artery (LAD) (arrow), which was confirmed on conventional angiography (CAG). CX = circumflex coronary artery; D = diagonal branch; RCA = right coronary artery.
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