[Multidetector computed tomography coronarography: preliminary experience in real life settings].
Multidetector computed tomography coronarography (MDCT) is a promising tool, offering non invasive anatomic evaluation of coronary arteries. We relate in this article our impressions after our first two years experience.


METHODS
Retrospective study of the 328 patients who underwent MDCT examination between January 2005 and December 2006 at our community hospital. Per patient comparative analysis of the anatomical findings versus percutaneous angiography (PCA) in 61 cases.


RESULTS
Out of 328 patients 61 (18.5%) underwent PCA. In these patients we found a sensibility, specificity, positive predictive value and negative predictive value of 100%, 54%, 59% and 100% for MDCT. The main factor responsible for inconclusive vessel analysis was excessive calcification.


CONCLUSIONS
In routine use, MDCT enables one to rule out significant stenosis non invasively, with high sensitivity in an unselected patient population.
Ratajczak
A
A
Pôle cardioneurovasculaire, centre hospitalier de Haguenau, 64, avenue du Professeur-Leriche, 67504 Haguenau, France. auldric@hotmail.com
Hanssen
M
M
Burguet
J-L
JL
Couppie
P
P
Reeb
T
T
De Poli
F
F
D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed