http://www.thepreparedminds.com/archives/203 In the field of observation, chance favors the prepared minds. Sat, 04 Feb 2012 14:45:45 +0000 hourly 1 http://wordpress.org/?v=3.3 http://www.thepreparedminds.com/archives/203/comment-page-1#comment-224 Jacobo Kirsch, MD Wed, 23 Sep 2009 05:27:59 +0000 http://www.thepreparedminds.com/?p=203#comment-224 The selected study showed that "in the setting of STEMI, patients with myocardium DE at non-contrast MDCT performed immediately after primary PCI are more likely to have failed re-perfusion at the microvascular level". This is a small study including 30 patients that were imaged by MDCT immediately after undergoing conventional angiography (with an administered contrast volume of 219.2 ±68.7 mL). MDCT late enhancement is a very interesting concept that has been analyzed in the past as an addition to coronary CT angiography (in search of the one-stop shop for cardiac imaging). It would have been interesting to have MR examinations to compare the extent of DE using both modalities (performing the MR after the PCI, at the time of the 6 month follow-up, or both). The selected study showed that “in the setting of STEMI, patients with myocardium DE at non-contrast MDCT performed immediately after primary PCI are more likely to have failed re-perfusion at the microvascular level”.
This is a small study including 30 patients that were imaged by MDCT immediately after undergoing conventional angiography (with an administered contrast volume of 219.2 ±68.7 mL). MDCT late enhancement is a very interesting concept that has been analyzed in the past as an addition to coronary CT angiography (in search of the one-stop shop for cardiac imaging).
It would have been interesting to have MR examinations to compare the extent of DE using both modalities (performing the MR after the PCI, at the time of the 6 month follow-up, or both).

]]>