Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques

The aim of this study is to investigate the relationship between intraluminal appearances of coronary plaques and left coronary bifurcation angle and plaque components using coronary CT virtual intravascular endoscopy (VIE). Fifty patients suspected of coronary artery disease undergoing coronary CT...

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Main Author: Sun, Zhonghua
Format: Journal Article
Published: Hindawi Publishing Corporation 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/38732
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author Sun, Zhonghua
author_facet Sun, Zhonghua
author_sort Sun, Zhonghua
building Curtin Institutional Repository
collection Online Access
description The aim of this study is to investigate the relationship between intraluminal appearances of coronary plaques and left coronary bifurcation angle and plaque components using coronary CT virtual intravascular endoscopy (VIE). Fifty patients suspected of coronary artery disease undergoing coronary CT angiography were included in the study. The left bifurcation angle in patients with diseased left coronary artery which was measured as 94.3°± 16.5 is significantly larger than that in patients with normal leftcoronary artery, which was measured as 76.5°± 15.9 (P < 0.001). Irregular VIE appearances were found in 10 out of 11 patients with mixed plaques in the left anterior descending (LAD) and left circumflex (LCx), while, in 29 patients with calcified plaques in the LAD and LCx, irregular VIE appearances were only noticed in 5 patients. Using 80° as a cut-off value to determine coronary artery disease, smooth VIE appearances were found in 95% of patients (18/19) with left bifurcation angle of less than 80°, while irregular VIE appearances were observed in nearly 50% of patients (15/31) with left bifurcation angle of more than 80°. This preliminary study shows that VIE appearances of the coronary lumen are directly related to the types of plaques.
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spelling curtin-20.500.11937-387322017-09-13T14:15:45Z Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques Sun, Zhonghua virtual intravascular endoscopy Coronary artery disease angulation coronary CT angiography plaque atherosclerosis The aim of this study is to investigate the relationship between intraluminal appearances of coronary plaques and left coronary bifurcation angle and plaque components using coronary CT virtual intravascular endoscopy (VIE). Fifty patients suspected of coronary artery disease undergoing coronary CT angiography were included in the study. The left bifurcation angle in patients with diseased left coronary artery which was measured as 94.3°± 16.5 is significantly larger than that in patients with normal leftcoronary artery, which was measured as 76.5°± 15.9 (P < 0.001). Irregular VIE appearances were found in 10 out of 11 patients with mixed plaques in the left anterior descending (LAD) and left circumflex (LCx), while, in 29 patients with calcified plaques in the LAD and LCx, irregular VIE appearances were only noticed in 5 patients. Using 80° as a cut-off value to determine coronary artery disease, smooth VIE appearances were found in 95% of patients (18/19) with left bifurcation angle of less than 80°, while irregular VIE appearances were observed in nearly 50% of patients (15/31) with left bifurcation angle of more than 80°. This preliminary study shows that VIE appearances of the coronary lumen are directly related to the types of plaques. 2013 Journal Article http://hdl.handle.net/20.500.11937/38732 10.1155/2013/732059 Hindawi Publishing Corporation fulltext
spellingShingle virtual intravascular endoscopy
Coronary artery disease
angulation
coronary CT angiography
plaque
atherosclerosis
Sun, Zhonghua
Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title_full Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title_fullStr Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title_full_unstemmed Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title_short Coronary CT Angiography in Coronary Artery Disease: Correlation between Virtual Intravascular Endoscopic Appearances and Left Bifurcation Angulation and Coronary Plaques
title_sort coronary ct angiography in coronary artery disease: correlation between virtual intravascular endoscopic appearances and left bifurcation angulation and coronary plaques
topic virtual intravascular endoscopy
Coronary artery disease
angulation
coronary CT angiography
plaque
atherosclerosis
url http://hdl.handle.net/20.500.11937/38732