Abstract
Stent placement is commonly used for the treatment of obstructive coronary artery disease. Initially, bare-metal stents were deployed to maintain vessel patency, but 21–36% of these stents developed in-stent re-stenosis (ISR) due to neointimal hyperplasia [1,2]. Neointimal hyperplasia is a normal reparative process that occurs after stent deployment and is usually not extensive enough to cause hemodynamic significant narrowing [3]. However, if there is sufficient cellular proliferation, hemodynamic stenosis may be significant enough to bring about recurrent ischemia [3].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Moses JW, Leon MB, Popma JJ et al (2003) Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 349:1315–1323
Suttorp MJ, Laarman GJ, Rahel BM et al (2006) Primary Stenting of Totally Occluded Native Coronary Arteries II (PRISON II): a randomized comparison of bare metal stent implantation with sirolimuseluting stent implantation for the treatment of total coronary occlusions. Circulation 114:921–928
Grewe PH, Deneke T, Machraoui A et al (2000) Acute and chronic tissue response to coronary stent implantation: pathologic findings in human specimen. J Am Coll Cardiol 35:157–163
Stettler C, Wandel S, Allemann S et al (2007) Outcomes associated with drug-eluting and bare-metal stents: a collaborative network meta-analysis. Lancet 370:937–948
Adams DF, Abrams HL (1979) Complications of coronary arteriography: a follow-up report. Cardiovasc Radiol 2:89–96
Adams DF, Fraser DB, Abrams HL (1973) The complications of coronary arteriography. Circulation 48:609–618
Manning WJ, Nezafat R, Appelbaum E et al (2007) Coronary magnetic resonance imaging. Cardiol Clin 25:141–170, vi
Dewey M, Teige F, Schnapauff D et al (2006) Combination of free-breathing and breathhold steadystate free precession magnetic resonance angiography for detection of coronary artery stenoses. J Magn Reson Imaging 23:674–681
Sakuma H, Ichikawa Y, Suzawa N et al (2005) Assessment of coronary arteries with total study time of less than 30 minutes by using whole-heart coronary MR angiography. Radiology 237:316–321
Knollmann FD, Moller J, Gebert A et al (2004) Assessment of coronary artery stent patency by electron-beam CT. Eur Radiol 14:1341–1347
Pump H, Mohlenkamp S, Sehnert CA et al (2000) Coronary arterial stent patency: assessment with electron-beam CT. Radiology 214:447–452
Mazzarotto P, Di Renzi P, Paluello GM et al (2006) Comparison between four-slice computed tomography and coronary angiography for the assessment of coronary stents. J Cardiovasc Med (Hagerstown) 7:328–334
Schuijf JD, Bax JJ, Jukema JW et al (2004) Feasibility of assessment of coronary stent patency using 16-slice computed tomography. Am J Cardiol 94:427–430
Seifarth H, Ozgun M, Raupach R et al (2006) 64-Versus 16-slice CT angiography for coronary artery stent assessment: in vitro experience. Invest Radiol 41:22–27
Wolf F, Feuchtner GM, Homolka P et al (2007) In vitro imaging of coronary artery stents: Are there differences between 16-and 64-slice CT scanners? Eur J Radiol (Epub ahead of print)
Cademartiri F, Schuijf JD, Pugliese F et al (2007) Usefulness of 64-slice multislice computed tomography coronary angiography to assess in-stent restenosis. J Am Coll Cardiol 49:2204–2210
Jerrold T, Bushberg EML, Boone JM (1994) Essential physics of medical imaging. Lippincott Williams & Wilkins, Baltimore
Lell MM, Panknin C, Saleh R et al (2007) Evaluation of coronary stents and stenoses at different heart rates with dual source spiral CT (DSCT). Invest Radiol 42:536–541
Barrett JF, Keat N (2004) Artifacts in CT: recognition and avoidance. Radiographics 24:1679–1691
Sirineni GK, Kalra MK, Pottala K et al (2006) Effect of contrast concentration, tube potential and reconstruction kernels on MDCT evaluation of coronary stents: an in vitro study. Int J Cardiovasc Imaging 23:253–263
Suzuki S, Furui S, Kuwahara S et al (2007) Assessment of coronary stent in vitro on multislice computed tomography angiography: improved in-stent visibility by the use of 140-kV tube voltage. J Comput Assist Tomogr 31:414–421
Maintz D, Seifarth H, Raupach R et al (2006) 64-slice multidetector coronary CT angiography: in vitro evaluation of 68 different stents. Eur Radiol 16:818–826
Alles J, Mudde RF (2007) Beam hardening: analytical considerations of the effective attenuation coefficient of X-ray tomography. Med Phys 34:2882–2889
Hsieh J, Molthen RC, Dawson CA et al (2000) An iterative approach to the beam hardening correction in cone beam CT. Med Phys 27:23–29
Shikhaliev PM (2005) Beam hardening artefacts in computed tomography with photon counting, charge integrating and energy weighting detectors: a simulation study. Phys Med Biol 50:5813–5827
Yan CH, Whalen RT, Beaupre GS et al (2000) Reconstruction algorithm for polychromatic CT imaging: application to beam hardening correction. IEEE Trans Med Imaging 19:1–11
Shim SS, Kim Y, Lim SM (2005) Improvement of image quality with beta-blocker premedication on ECG-gated 16-MDCT coronary angiography. AJR Am J Roentgenol 184:649–654
Herzog C, Arning-Erb M, Zangos S et al (2006) Multi-detector row CT coronary angiography: influence of reconstruction technique and heart rate on image quality. Radiology 238:75–86
Matt D, Scheffel H, Leschka S et al (2007) Dual-source CT coronary angiography: image quality, mean heart rate, and heart rate variability. AJR Am J Roentgenol 189:567–573
Scheffel H, Alkadhi H, Plass A et al (2006) Accuracy of dual-source CT coronary angiography: First experience in a high pre-test probability population without heart rate control. Eur Radiol 16:2739–2747
Nieman K, Cademartiri F, Raaijmakers R et al (2003) Noninvasive angiographic evaluation of coronary stents with multi-slice spiral computed tomography. Herz 28:136–142
Maintz D, Seifarth H, Flohr T et al (2003) Improved coronary artery stent visualization and in-stent stenosis detection using 16-slice computed-tomography and dedicated image reconstruction technique. Invest Radiol 38:790–795
Seifarth H, Raupach R, Schaller S et al (2005) Assessment of coronary artery stents using 16-slice MDCT angiography: evaluation of a dedicated reconstruction kernel and a noise reduction filter. Eur Radiol 15:721–726
Utsunomiya D, Awai K, Sakamoto T et al (2007) In vitro evaluation of metallic coronary artery stents with sub-millimeter multi-slice computed tomography using an ECG-gated cardiac phantom: relationship between in-stent visualization and stent type. Cardiology 107:254–260
Suzuki S, Furui S, Kaminaga T et al (2005) Evaluation of coronary stents in vitro with CT angiography: effect of stent diameter, conyolution kernel, and vessel orientation to the z-axis. Circ J 69:1124–1131
Schepis T, Koepfli P, Leschka S et al (2007) Coronary artery stent geometry and in-stent contrast attenuation with 64-slice computed tomography. Eur Radiol 17:1464–1473
Ehara M, Kawai M, Surmely JF et al (2007) Diagnostic accuracy of coronary in-stent restenosis using 64-slice computed tomography: comparison with invasive coronary angiography. J Am Coll Cardiol 49:951–959
Gaspar T, Halon DA, Lewis BS et al (2005) Diagnosis of coronary in-stent restenosis with multidetector row spiral computed tomography. J Am Coll Cardiol 46:1573–1579
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Italia
About this chapter
Cite this chapter
Reddy Sirineni, G.K., Tigges, S., Stillman, A.E. (2008). Coronary CTA for Stent Evaluation. In: Kalra, M.K., Saini, S., Rubin, G.D. (eds) MDCT. Springer, Milano. https://doi.org/10.1007/978-88-470-0832-8_21
Download citation
DOI: https://doi.org/10.1007/978-88-470-0832-8_21
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0831-1
Online ISBN: 978-88-470-0832-8
eBook Packages: MedicineMedicine (R0)