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Status: Bibliographieeintrag

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Verfasst von:Renker, Matthias [VerfasserIn]   i
 Kriechbaum, Steffen D. [VerfasserIn]   i
 Baumann, Stefan [VerfasserIn]   i
 Tesche, Christian [VerfasserIn]   i
 Korosoglou, Grigorios [VerfasserIn]   i
 Charitos, Efstratios I. [VerfasserIn]   i
 Gonska, Birgid [VerfasserIn]   i
 Seidler, Tim [VerfasserIn]   i
 Choi, Yeong-Hoon [VerfasserIn]   i
 Rolf, Andreas [VerfasserIn]   i
 Kim, Won-Keun [VerfasserIn]   i
 Sossalla, Samuel T. [VerfasserIn]   i
Titel:Predictors of diagnostic inaccuracy of detecting coronary artery stenosis by preprocedural CT angiography in patients prior to transcatheter aortic valve implantation
Verf.angabe:Matthias Renker, Steffen D. Kriechbaum, Stefan Baumann, Christian Tesche, Grigorios Korosoglou, Efstratios I. Charitos, Birgid Gonska, Tim Seidler, Yeong-Hoon Choi, Andreas Rolf, Won-Keun Kim and Samuel T. Sossalla
E-Jahr:2025
Jahr:19 March 2025
Umfang:12 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 03.07.2025
Titel Quelle:Enthalten in: Diagnostics
Ort Quelle:Basel : MDPI, 2011
Jahr Quelle:2025
Band/Heft Quelle:15(2025), 6, Artikel-ID 771, Seite 1-12
ISSN Quelle:2075-4418
Abstract:Background: The diagnostic performance of preprocedural CT angiography in detecting coronary artery disease (CAD) in patients scheduled for transcatheter aortic valve implantation (TAVI) has been reported. However, data on predictors of diagnostic inaccuracy are sparse. We sought to investigate clinical characteristics and imaging criteria that predict the inaccurate assessment of coronary artery stenosis based on pre-TAVI-CT. Methods: The patient- and vessel-level analysis of all CT datasets from 192 patients (mean age 82.1 ± 4.8 years; 63.5% female) without known CAD or severe renal dysfunction was performed retrospectively in a blinded fashion. Significant CAD was defined as a CAD-RADS™ 2.0 category ≥ 4 by CT. Invasive coronary angiography (ICA) served as the reference standard for relevant CAD (≥70% luminal diameter stenosis or fractional flow reserve ≤ 0.80). Pertinent clinical characteristics and imaging criteria of all true-positive (n = 71), false-positive (n = 30), false-negative (n = 4), and true-negative patient-level CT diagnoses (n = 87) for relevant stenosis according to ICA were assessed. Results: In the univariate per-patient analysis, the following parameters yielded discriminative power (p < 0.10) regarding inaccurate CAD assessment by pre-TAVI-CT: age, atrial fibrillation, scanner generation, and image quality. Factors independently associated with CT diagnostic inaccuracy were determined using multivariable logistic regression analysis: a younger age (odds ratio [OR] 0.87; 95% confidence interval [CI] 0.80 to 0.94; p < 0.01) and insufficient CT image quality (OR 0.6; CI 0.41 to 0.89; p < 0.01). Conclusions: Our results demonstrate younger age and poor CT image quality to predict less accurate CAD assessments by pre-TAVI-CT in comparison with ICA. Knowledge of these predictors may aid in more efficient coronary artery interpretations based on pre-TAVI-CT.
DOI:doi:10.3390/diagnostics15060771
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/diagnostics15060771
 kostenfrei: Volltext: https://www.mdpi.com/2075-4418/15/6/771
 DOI: https://doi.org/10.3390/diagnostics15060771
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:aortic stenosis
 chronic coronary syndrome
 computed tomography
 coronary artery disease
 diagnostic inaccuracy
 transcatheter aortic valve implantation
K10plus-PPN:1929673035
Verknüpfungen:→ Zeitschrift

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