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305782

Role of Multidetector Computed Tomography Coronary Angiography in Evaluation of Coronary Bifurcation Angles as a Predictor of Coronary Artery Disease

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Last updated: 03 Jan 2025

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Abstract

Background: The common and potentially fatal disorder known as coronary artery disease (CAD) is characterised by turbulent and sluggish blood flow at the coronary artery bifurcation site, particularly at broader angles. Curved multiplanar reformat (CMPR) and 3D volume rendering (3D VR) techniques could help in prediction of CAD. Objective: The aim of the current study was to evaluate of the capability of Multi-detector CT (MDCT) coronary angiography to quantify coronary bifurcation angles for early preventative treatment or preprocedural planning for coronary intervention. Patients and methods: Using a 128-detectors scanner, 60 patients with typical or atypical chest discomfort or failed catheterization received MDCT coronary angiography to characterise coronary anatomy. Coronary bifurcation angles were calculated using specialised software and post-processing methods for correlation with CAD severity. Results: Compared to the 3D VR approach, the CMPR technique revealed wider values of coronary bifurcation angles. However, Bland-Altman plots showed that both methods may be alternatively used. Because a wider angle was linked to a greater degree of stenosis, LAD-LCX angle differed significantly between individuals with significant and nonsignificant CAD. Conclusion: Measurements of various coronary bifurcation angles, particularly the LAD-LCX angle, which is thought to be a predictor for CAD, can be made using MDCT coronary angiographic examination with CMPR and 3D VR methods. More plaques are likely to form when the angle is wider.

DOI

10.21608/ejhm.2023.305782

Keywords

Coronary Artery Disease, Bifurcation angle, CMPR, 3D VR, Coronary Computed Tomography Angiography

Authors

First Name

Rabab Mohamed

Last Name

Abdelhay

MiddleName

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Affiliation

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Email

rababbarakat.rm@gmail.com

City

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Orcid

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First Name

Samar Mohamed

Last Name

Shehata

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Sara Emad eldin

Last Name

Abdellatif

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamad Gamal

Last Name

Nada

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Hanan A.

Last Name

Bahaaeldin

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

92

Article Issue

1

Related Issue

42192

Issue Date

2023-07-01

Receive Date

2023-07-01

Publish Date

2023-07-01

Page Start

5,465

Page End

5,473

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 92_Issue 1_Pages 5465-5473.pdf

PDF . 976.5kB

Link

https://ejhm.journals.ekb.eg/article_305782.html

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https://ejhm.journals.ekb.eg/service?article_code=305782

Order

3

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Multidetector Computed Tomography Coronary Angiography in Evaluation of Coronary Bifurcation Angles as a Predictor of Coronary Artery Disease

Details

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Article

Created At

24 Dec 2024