Skip to main content
SpringerLink
Log in

Computed Tomography Angiography Before and After CABG

  • Chapter
  • First Online:
Coronary Graft Failure

  • 1039 Accesses

Abstract

State-of-the-art cardiac computed tomography (CT), with the latest multislice CT scanners with improved spatial and temporal resolution, can be used as a reliable alternative to invasive coronary angiography for assessment of native arteries and coronary artery bypass graft (CABG) after myocardial revascularization surgery in selected patients. Cardiac CT has sensitivity and specificity values between 93–100 % and 95–100 % for assessment of graft stenosis and occlusion, respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    ACCF – American College of Cardiology Foundation, SCCT – Society of Cardiovascular Computed Tomography, ACR – American College of Radiology, AHA – American Heart Association, ASE – American Society of Echocardiography, ASNC – American Society of Nuclear Cardiology, NASCI – North American Society for Cardiovascular Imaging, SCAI – Society for Cardiovascular Angiography and Interventions, SCMR – Society for Cardiovascular Magnetic Resonance.

References

  1. Miniño AM, Murphy SL, Xu J, Kochanek KD. Deaths: final data for 2008. Natl Vital Stat Rep. 2011;59:1–126.

    Google Scholar 

  2. Sun Z, Lin C, Davidson R, Dong C, Liao Y. Diagnostic value of 64-slice CT angiography in coronary artery disease: a systematic review. Eur J Radiol. 2008;67:78–84.

    Article  PubMed  Google Scholar 

  3. Mowatt G, Cook JA, Hillis GS, Walker S, Fraser C, Jia X, Waugh N. 64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis. Heart. 2008;94:1386–93.

    Article  CAS  PubMed  Google Scholar 

  4. Stein PD, Yaekoub AY, Matta F, Sostman HD. 64-slice CT for diagnosis of coronary artery disease: a systematic review. Am J Med. 2008;121:715–25.

    Article  PubMed  Google Scholar 

  5. Otero HJ, Steigner ML, Rybicki FJ. The “post-64” era of coronary CT angiography: understanding new technology from physical principles. Radiol Clin North Am. 2009;47:79–90.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Hurlock GS, Higashino H, Mochizuki T. History of cardiac computed tomography: single to 320-detector row multislice computed tomography. Int J Cardiovasc Imaging. 2009;25 Suppl 1:31–42.

    Article  PubMed  Google Scholar 

  7. Abdulla J, Asferg C, Kofoed KF. Prognostic value of absence or presence of coronary artery disease determined by 64-slice computed tomography coronary angiography a systematic review and meta-analysis. Int J Cardiovasc Imaging. 2011;27:413–20.

    Article  PubMed  Google Scholar 

  8. Sun Z, Choo GH, Ng KH. Coronary CT angiography: current status and continuing challenges. Br J Radiol. 2012;85:495–510.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Budoff MJ, Dowe D, Jollis JG, Gitter M, Sutherland J, Halamert E, Scherer M, Bellinger R, Martin A, Benton R, Delago A, Min JK. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52:1724–32.

    Article  PubMed  Google Scholar 

  10. Meijboom WB, Meijs MF, Schuijf JD, Cramer MJ, Mollet NR, van Mieghem CA, Nieman K, van Werkhoven JM, Pundziute G, Weustink AC, de Vos AM, Pugliese F, Rensing B, Jukema JW, Bax JJ, Prokop M, Doevendans PA, Hunink MG, Krestin GP, de Feyter PJ. Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study. J Am Coll Cardiol. 2008;52:2135–44.

    Article  PubMed  Google Scholar 

  11. Miller JM, Rochitte CE, Dewey M, Arbab-Zadeh A, Niinuma H, Gottlieb I, Paul N, Clouse ME, Shapiro EP, Hoe J, Lardo AC, Bush DE, de Roos A, Cox C, Brinker J, Lima JA. Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med. 2008;359:2324–36.

    Article  CAS  PubMed  Google Scholar 

  12. Coronary angioplasty versus medical therapy for angina: the second Randomised Intervention Treatment of Angina (RITA-2) trial. RITA-2 trial participants. Lancet. 1997;350:461–8.

    Google Scholar 

  13. Henderson RA, Pocock SJ, Clayton TC, Knight R, Fox KAA, Julian DG, Chamberlain DA, Second Randomised Intervention Treatment of Angina (RITA-2) Trial Participants. Seven-year outcome in the RITA-2 trial: coronary angioplasty versus medical therapy. J Am Coll Cardiol. 2003;42:1161–70.

    Article  PubMed  Google Scholar 

  14. Loop FD, Lytle BW, Cosgrove DM, Stewart RW, Goormastic M, Williams GW, Golding LA, Gill CC, Taylor PC, Sheldon WC, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med. 1986;314:1–6.

    Article  CAS  PubMed  Google Scholar 

  15. Goldman S, Zadina K, Moritz T, Ovitt T, Sethi G, Copeland JG, Thottapurathu L, Krasnicka B, Ellis N, Anderson RJ, Henderson W; VA Cooperative Study Group #207/297/364. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol. 2004;44:2149–56.

    Google Scholar 

  16. Schwartz L, Kip KE, Frye RL, Alderman EL, Schaff HV, Detre KM, Bypass Angioplasty Revascularization Investigation. Coronary bypass graft patency in patients with diabetes in the Bypass Angioplasty Revascularization Investigation (BARI). Circulation. 2002;106:2652–8.

    Article  PubMed  Google Scholar 

  17. Grasruck M, Stierstorfer K, Krauss B, Raupach R, Primak AN, Kuttner A, Achenbach S, Becker C, Kopp A, Ohnesorge BM. First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol. 2006;16:256–68.

    Article  PubMed  Google Scholar 

  18. Achenbach S, Ropers D, Kuettner A, Flohr T, Ohnesorge B, Bruder H, Theessen H, Karakaya M, Daniel WG, Bautz W, Kalender WA, Anders K. Contrast-enhanced coronary artery visualization by dualsource computed tomography – initial experience. Eur J Radiol. 2006;57:331–5.

    Article  PubMed  Google Scholar 

  19. Johnson TR, Nikolaou K, Wintersperger BJ, Leber AW, von Ziegler F, Rist C, Buhmann S, Knez A, Reiser MF, Becker CR. Dual-source CT cardiac imaging: initial experience. Eur Radiol. 2006;16:1409–15.

    Article  PubMed  Google Scholar 

  20. Scheffel H, Alkadhi H, Plass A, Vachenauer R, Desbiolles L, Gaemperli O, Schepis T, Frauenfelder T, Schertler T, Husmann L, Grunenfelder J, Genoni M, Kaufmann PA, Marincek B, Leschka S. Accuracy of dual-source CT coronary angiography: first experience in a high pre-test probability population without heart rate control. Eur Radiol. 2006;16:2739–47.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Marano R, Storto ML, Merlino B, Maddestra N, Di Giammarco G, Bonomo L. A pictorial review of coronary artery bypass grafts at multidetector row CT. Chest. 2005;127:1371–7.

    PubMed  Google Scholar 

  22. Ueyama K, Ohashi H, Tsutsumi Y, Kawai T, Ueda T, Ohnaka M. Evaluation of coronary artery bypass grafts using helical scan computed tomography. Catheter Cardiovasc Interv. 1999;46:322–6.

    Article  CAS  PubMed  Google Scholar 

  23. Frazier AA, Qureshi F, Read KM, Gilkeson RC, Poston RS, White CS. Coronary artery bypass grafts: assessment with multidetector CT in the early and late postoperative settings. Radiographics. 2005;25:881–96.

    Article  PubMed  Google Scholar 

  24. Lee R, Lim J, Kaw G, Wan G, Ng K, Ho KT. Comprehensive noninvasive evaluation of bypass grafts and native coronary arteries in patients after coronary bypass surgery: accuracy of 64-slice multidetector computed tomography compared to invasive coronary angiography. J Cardiovasc Med (Hagerstown). 2010;11:81–90.

    Article  Google Scholar 

  25. Dikkers R, Willems TP, Tio RA, Anthonio RL, Zijlstra F, Oudkerk M. The benefit of 64-MDCT prior to invasive coronary angiography in symptomatic post-CABG patients. Int J Cardiovasc Imaging. 2007;23:369–77.

    Article  CAS  PubMed  Google Scholar 

  26. Jabara R, Chronos N, Klein L, Eisenberg S, Allen R, Bradford S, Frohwein S. Comparison of multidetector 64-slice computed tomographic angiography to coronary angiography to assess the patent of coronary artery bypass grafts. Am J Cardiol. 2007;99:1529–34.

    Article  PubMed  Google Scholar 

  27. Nazeri I, Shahabi P, Tehrai M, Sharif-Kashani B, Nazeri A. Assessment of patients after coronary artery bypass grafting using 64-slice computed tomography. Am J Cardiol. 2009;103:667–73.

    Article  PubMed  Google Scholar 

  28. Ropers D, Pohle FK, Kuettner A, Pflederer T, Anders K, Daniel WG, Bautz W, Baum U, Achenbach S. Diagnostic accuracy of noninvasive coronary angiography in patients after bypass surgery using 64-slice spiral computed tomography with 330-ms gantry rotation. Circulation. 2006;114:2334–41.

    Article  PubMed  Google Scholar 

  29. Tochii M, Takagi Y, Anno H, Hoshino R, Akita K, Kondo H, Ando M. Accuracy of 64-slice multidetector computed tomography for diseased coronary artery graft detection. Ann Thorac Surg. 2010;89:1906–11.

    Article  PubMed  Google Scholar 

  30. Taylor AJ, Cerqueira M, Hodgson JM, Mark D, Min J, O’Gara P, Rubin GD; American College of Cardiology Foundation Appropriate Use Criteria Task Force; Society of Cardiovascular Computed Tomography; American College of Radiology; American Heart Association; American Society of Echocardiography; American Society of Nuclear Cardiology; North American Society for Cardiovascular Imaging; Society for Cardiovascular Angiography and Interventions; Society for Cardiovascular Magnetic Resonance. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. Circulation. 2010;122:e525–55.

    Google Scholar 

  31. Hecht HS, Roubin G. Usefulness of computed tomographic angiography guided percutaneous coronary intervention. Am J Cardiol. 2007;99:871–5.

    Article  PubMed  Google Scholar 

  32. Song BG. Coronary artery graft dilatation aided by multidetector computed tomography. Asian Cardiovasc Thorac Ann. 2010;18:177–9.

    Article  PubMed  Google Scholar 

  33. Gilkeson RC, Markowitz AH, Ciancibello L. Multisection CT evaluation of the reoperative cardiac surgery patient. Radiographics. 2007;23:S3–17.

    Article  Google Scholar 

  34. Ohtsuka T, Akahane M, Ohtomo K, Kotsuka Y, Takamoto S. Three dimensional computed tomography for reoperative minimally invasive coronary artery bypass. Ann Thorac Surg. 2000;70:1734–5.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. CT Department, Diagnóstico Maipú, Vicente López, Buenos Aires, Argentina

    Carlos Capuñay MD

  2. CT and MRI Departments, Diagnóstico Maipú, Vicente López, Buenos Aires, Argentina

    Patricia Carrascosa MD, PhD, FSCCT

Authors
  1. Carlos Capuñay MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Patricia Carrascosa MD, PhD, FSCCT
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Patricia Carrascosa MD, PhD, FSCCT .

Editor information

Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Capuñay, C., Carrascosa, P. (2016). Computed Tomography Angiography Before and After CABG. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_42

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26515-5_42

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26513-1

  • Online ISBN: 978-3-319-26515-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation