The role of multispiral computed tomographic coronarography
Fedorov, V.D.; Karmazanovskiĭ, G.G.; Kokov, L.S.; Korostelev, A.N.; Nesuk, O.M.; Tarbaeva, N.V.
Khirurgiia 7: 4-9
2010
ISSN/ISBN: 0023-1207 PMID: 20724970 Document Number: 646783
The aim of the study was to assess the use of multispiral computed tomographic coronarography (MSCT-CG) in comparison with conventional coronary angiography. Overall 62 patients aged 45-72 years were examined, the MSCT-CG was conducted in 38 patients. The sensitivity of MSCT-CG was 92%, the specificity - 91,2%, in comparison with the CAG. The prognostic value of negative test was 95,7%, the prognostic value of positive test was 84%, overall accuracy was counted up to 91,5%. Though, the MSCT-CG showed certain overestimation in calculating the stenosis degree and, thus, false positive results, in cases with calcined atherosclerotic plaques. Main advantages of MSCT-CG were: non-invasiveness, possibility of vessel lumen, arterial wall and structure of the plaque assessment.