Journal de la douleur et du soulagement

Abstrait

Comparison of Diagnostic Performance of Multi Detector CT Angiography with Conventional Coronary Angiography for Assessment of Coronary Artery Disease

Surya Narayan Bayar and Qian Yin Feng

Aim: The point of this study was to reflectively assess the analytic exactness of multi detector angiography as a different option for conventional coronary angiography in evaluating coronary artery disease.

Materials and Methods: This review study selected 57 patients, who experienced both conventional coronary angiography (CCA), and additionally multi-detector computed coronary angiography (MDCT). Aggregate of 931 open segments were studied. Of which 95 portions indicated shifted level of stenosis, with 34 segments <50% stenosis, 43 segments 50-70% stenosis and 18 segments >70% stenosis.

Results: The affectability and specificity of 64 slice MDCT for identifying stenosis in <50%, 50-70% and >70% are 78.57% and 99.34%; 81.08% and 99.33%; 87.5% and 99.78%. The positive predictive value (PPV) and negative predictive value (NPV) are 78.57% and 99.34%; 83.33% and 99.22%; 87.5% and 99.78% individually. Over all exact nesses are 88.95%, 90.2% and 93.64% separately. There was no critical contrast in analytic exactness between conventional coronary angiography and 64 slice computed tomography in moderate (50-70%) and additionally severe (>70%) stenosis (p>0.05). Be that as it may, critical contrast was found in gentle (<50%) stenosis (p<0.05).

Conclusion: Indicative exactness of multi detector coronary angiography (MDCT) was found to be higher in moderate and extreme stenosis and can be utilized as a substitute to conventional coronary angiography (CCA).