Computed Tomography Coronary Angiography (CTCA) and Coronary Flow in Stenosis Analysis
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Purpose
The investigators' rationale was to evaluate whether a 64-slice CT scanner allows accurate measurement of computed tomographic changes in coronary artery flow profiles and whether CT flow measurements are suitable for classifying the significance and hemodynamic relevance of a stenosis and thereby supplement as a functional parameter for morphological stenosis analysis.
| Condition |
|---|
|
Coronary Artery Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | CT Coronary Angiography: Coronary Flow Quantification Supplements Morphological Stenosis Analysis |
| Enrollment: | 50 |
| Study Start Date: | August 2007 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
A total of 50 patients prospectively underwent computed tomography coronary angiography (CTCA) in a multidetector CT scanner (Brilliance 64, Philips) ± 1 day before or after invasive coronary angiography (ICA). Immediately thereafter, 2 radiologists reviewed the imaging data to detect any vessel segments with morphology poorly evaluable by CTCA. A locally constant cyclical measurement was acquired in these coronary arteries in breath-hold technique during the passage of a 50ml bolus of contrast media. For analysis, time-density curves of the bolus passage were registered in the coronary artery and the aorta (internal reference), the up-slopes were determined and correlated with each other. The results were compared with the ICA findings.
Eligibility| Ages Eligible for Study: | 51 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
people with suspected or known coronary artery disease (CAD)
Inclusion Criteria:
- Clinically known or presumed CAD
- Age > 50 years
- Hospitalization for invasive coronary angiography
- Sinus rhythm
- Written informed consent by the patient to participate in the study after comprehensive presentation of the facts
Exclusion Criteria:
- Age <= 50 years
- Contraindications to contrast media administration (medical history of iodine allergy, nephropathy, latent or manifest hyperthyroidism)
- Arrhythmias
- Dyspnea at rest, acute unstable angina pectoris, acute myocardial infarction
- Pregnancy
- Implanted pacemaker
- Unwillingness of patient to consent to the study
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Prof. Dr. med. Barbara Krug, University Hospital of Cologne, Dept. Radiology |
| ClinicalTrials.gov Identifier: | NCT00921440 History of Changes |
| Other Study ID Numbers: | 22462/2 - 2005-070 |
| Study First Received: | June 15, 2009 |
| Last Updated: | June 15, 2009 |
| Health Authority: | Germany: Federal Agency for Radiation Protection |
Keywords provided by University of Cologne:
|
coronary artery stenosis |
Additional relevant MeSH terms:
|
Constriction, Pathologic Coronary Artery Disease Myocardial Ischemia Coronary Disease Pathological Conditions, Anatomical |
Heart Diseases Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013