Does 16-slice multidetector computed tomography improve stent patency and in-stent restenosis evaluation?

J Cardiovasc Med (Hagerstown). 2007 Jun;8(6):438-44. doi: 10.2459/01.JCM.0000269717.41059.86.

Abstract

Aim: To assess the value of multidetector computed tomography (MDCT) in the non-invasive evaluation of stents.

Methods: We studied 88 patients (142 stents): 48 with 1.2-mm MDCT, 40 with 0.6-mm MDCT considering accuracy in assessing the vessel lumen, stent patency and intra-stent restenosis. Coronary angiography comprised the gold standard.

Results: Occlusion was detected, respectively, in three of 72 versus four of 70 cases. Patency was assessed in all cases. In-stent restenosis was diagnosed in two of eight cases with thin-slice MDCT.

Conclusions: 0.6-mm MDCT allows a better visualization of stent lumen and in-stent restenosis versus 1.2-mm MDCT.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Coronary Angiography
  • Coronary Restenosis / diagnostic imaging*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Failure
  • Stents / adverse effects*
  • Tomography, X-Ray Computed / instrumentation*