Optimal fluoroscopic view selection for percutaneous coronary intervention by multislice computed tomography.
We present 2 cases of patients with stenotic and occlusive coronary lesions, which were detected by multislice computed tomography (MSCT) coronary angiography and treated with percutaneous coronary intervention (PCI) using CT-oriented optimal fluoroscopic views. Preprocedural MSCT allowed us to select the optimal fluoroscopic angle to visualize the target lesions, which provided least amount of foreshortening and minimal overlap of side branches during the PCI procedures. Given its three-dimensional nature, MSCT provides additional anatomical information in the evaluation of complex coronary lesions prior to PCI.
Otsuka
Masato
M
Sugahara
Shigetada
S
Nakamura
Mitsuchika
M
Umeda
Ken
K
Bonkohara
Yukihiro
Y
Van Pelt
Niels
N
Mollet
Nico R
NR
de Feyter
Pim J
PJ
D000328:Adult; D015901:Angiography, Digital Subtraction; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D036542:Tomography, Spiral Computed / Q000379:methods*; D016896:Treatment Outcome; D014654:Vascular Patency