摘要64层容积CT(VCT)冠状动脉成像(CTA)作为一种安全、可靠和无创伤的影像学检查方法,已广泛用于冠状动脉狭窄的定量评价和介入治疗的筛选。目前公认其具有较高的特异性,但却有一定的假阳性,或者将病变程度严重化。检查前对患者进行3~5d常规的抗凝、扩管、对症等治疗,可明显减少假阳性的发生率(23.2% vs 3.8%)。
3De Feyter PJ,Nieman K.New coronary imaging techniques:what to expect.Heart,2002,87:195-197.
4Peebles CR.Non-invasive coronary imaging:computed tomography or magnetic resonance imaging? Heart,2003,89:591-594.
5Hong C,Becker CR,Huber A,et al.ECG-gated reconstructed multi-detector row CT coronary angiography:effect of varying trigger delay on image quality.Radiology,2001,220:712-717.
6Vogl TJ,Abolmaali ND,Diebold T,et al.Techniques for the detection of coronary atherosclerosis:multi-detector row CT coronary angiography.Radiology,2002,223:212-220.
7Achenbach S,Giesler T,Ropers D,et al.Detection of coronary artery stenoses by contrast-enhanced,retrospectively electrocardiographically-gated,multislice spiral computed tomography.Circulation,2001,103:2535-2538.
8Nieman K,Rensing BJ,van Geuns RJ,et al.Non-invasive coronary angiography with multislice spiral computed tomography:impact of heart rate.Heart,2002,88:470-474.
9Schroeder S,Kopp AF,Kuettner A,et al.Influence of heart rate on vessel visibility in noninvasive coronary angiography using new multislice computed tomography:experience in 94 patients.Clin Imaging,2002,26:106-111.