Current and evolving stent evaluation by coronary computed tomographic angiography

Catheter Cardiovasc Interv. 2011 May 1;77(6):843-59. doi: 10.1002/ccd.22897. Epub 2011 Mar 17.

Abstract

Objectives: To demonstrate the variety of stent abnormalities that may be evaluated by coronary computed tomographic angiography (CTA).

Background: The application of CTA to the evaluation of coronary stents has focused almost entirely on the detection of in-stent restenosis.

Methods: All CTA performed for stent evaluation at a single institution were reviewed.

Results: In addition to in-stent restenosis, stent fracture, and overlap failure, a multiplicity of stent-related problems not previously addressed by CTA was categorized and illustrated: late stent thrombosis, jailed branches, edge stenosis, bifurcation stents, inadequate stent expansion, stent aneurysms, peri-stent plaque, and stenting into bridged myocardium.

Conclusions: CTA may be used to evaluate the full range of stent-related problems. This work provides the framework for future studies validating these applications.

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / instrumentation*
  • Coronary Angiography / methods*
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / therapy*
  • Coronary Restenosis / diagnostic imaging*
  • Coronary Restenosis / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • New York City
  • Predictive Value of Tests
  • Prosthesis Design
  • Prosthesis Failure*
  • Stents*
  • Thrombosis / diagnostic imaging*
  • Thrombosis / etiology
  • Time Factors
  • Tomography, X-Ray Computed*
  • Treatment Outcome