Multidetector Row Computed Tomography Noninvasively Assesses Coronary Reperfusion After Thrombolytic Therapy in Patients With ST Elevation Myocardial Infarction
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概要
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Background The study objective was to assess the efficacy of 16-slice multidetector row computed tomography (MDCT) in estimating residual stenosis and successful reperfusion after thrombolysis in patients with ST-elevation myocardial infarction (STEMI). Methods and Results A total of 31 patients with STEMI underwent MDCT scanning within 6h (mean 4.6±1.1) after thrombolysis and the results for detection of significant residual stenosis and distal flow of the infarctrelated artery were compared with those from conventional coronary angiography (CCAG) performed within 24h (mean 12.1±5.6) after the MDCT scan. Successful reperfusion was defined as Thrombolysis In Myocardial Infarction flow 2 or 3 on CCAG and full contrast enhancement of the distal artery landmarks on MDCT. A final analysis was performed using 24 patients (312 segments). MDCT had a positive predictive value of 73.3% and a negative predictive value of 95.1% for detecting significant residual stenosis. It accurately estimated 17 of 18 patients (94.4%) with successful reperfusion and 5 of 6 (83.3%) with failed reperfusion on the basis of comparison with CCAG. Conclusions MDCT demonstrated high accuracy not only for the detecting residual stenosis, but also for assessing successful reperfusion after thrombolytic therapy in patients with STEMI.
- 社団法人日本循環器学会の論文
- 2006-11-20
著者
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Shin Dong
Department of Anatomy, Ajou University School of Medicine
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Kim Ki
Department of Oral Biology, Research Center for Orofacial Hard Tissue Regeneration, Oral Science Res
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Baek Sang
The Catholic University Of Korea
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Shin Dong
Department Of Agricultural Chemistry The University Of Tokyo
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Shin Woo
Department Of Internal Medicine The Catholic University Of Korea
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Kim Pum
The catholic university of Korea
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Seung Ki-Bae
The catholic university of Korea
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Jung Hae
The Catholic University Of Korea
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Jung Hae-ok
Division Of Cardiology Department Of Internal Medicine College Of Medicine The Catholic University O
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Shin Dong-il
Division Of Cardiology Department Of Internal Medicine College Of Medicine The Catholic University O
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Shin Dong
Department Of Internal Medicine The Catholic University Of Korea
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Chang Kiyuk
Department of Internal Medicine, College of Medicine, The Catholic University of Korea
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Seung Ki-Bae
Department of Internal Medicine, College of Medicine, The Catholic University of Korea
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JEON Hee
Department of Physics, Dongguk University
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Won Yoo
Department Of Radiology The Catholic University Of Korea
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Chang Ki-yuk
Department Of Internal Medicine College Of Medicine The Catholic University Of Korea
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Park Yun
Department Of Internal Medicine The Catholic University Of Korea
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Chung Wook
Department Of Internal Medicine The Catholic University Of Korea
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Kim Youn-jeong
Department Of Radiology The Inha University Of Korea
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Chang Kiyuk
Department Of Internal Medicine The Catholic University Of Korea
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Kim Ki
Deparment Of Obstetrics & Gynecology College Of Medicine Pusan National University
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JUNG Hae
Department of Automobile Engineering, Dongmyong University
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Jeon Hee
Department Of Internal Medicine The Catholic University Of Korea
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Kim Pum
Department of Internal Medicine, The Catholic University of Korea
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Baek Sang
Department of Internal Medicine, The Catholic University of Korea
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Jung Hae
Department Of Automobile Engineering Dongmyong University
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Seung Ki-bae
Department Of Internal Medicine College Of Medicine The Catholic University Of Korea
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Chung Wook
Department Of Cardiology College Of Medicine Seoul St Mary's Hospital The Catholic University O
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Shin Woo
Department Of Cardiology College Of Medicine Uijeongbu St Mary's Hospital The Catholic Universi
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Kim Pum
Department Of Cardiology College Of Medicine Seoul St Mary's Hospital The Catholic University O
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Seung Ki-bae
Department Of Cardiology College Of Medicine Seoul St Mary's Hospital The Catholic University O
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Chang Kiyuk
Department Of Cardiology College Of Medicine Seoul St Mary's Hospital The Catholic University O
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Kim Ki
Department Of Radiology The Catholic University Of Korea
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