Acceptance of Combined Coronary CT Angiography and Myocardial CT Perfusion versus Conventional Coronary Angiography in Patients with Coronary Stents--Intraindividual Comparison

PloS One
Matthias RiefE Schönenberger

Abstract

To evaluate how well patients with coronary stents accept combined coronary computed tomography angiography (CTA) and myocardial CT perfusion (CTP) compared with conventional coronary angiography (CCA). While combined CTA and CTP may improve diagnostic accuracy compared with CTA alone, patient acceptance of CTA/CTP remains to be defined. A total of 90 patients with coronary stents prospectively underwent CTA/CTP (both with contrast agent, CTP with adenosine) and CCA as part of the CARS-320 study. In this group, an intraindividual comparison of patient acceptance of CTA, CTP, and CCA was performed. CTP was experienced to be significantly more painful than CTA (p<0.001) and was associated with a higher frequency of dyspnea (p<0.001). Comparison of CTA/CTP with CCA revealed no significant differences in terms of pain (p = 0.141) and comfort (p = 0.377). Concern before CTA/CTP and CCA and overall satisfaction were likewise not significantly different (p = 0.097 and p = 0.123, respectively). Nevertheless, about two thirds (n = 60, 68%) preferred CTA/CTP to CCA (p<0.001). Moreover, patients felt less helpless during CTA/CTP than during CCA (p = 0.026). Lack of invasiveness and absence of pain were the most frequently mentioned advant...Continue Reading

References

Feb 1, 1994·Journal of the American College of Cardiology·M D CerqueiraA S Iskandrian
Dec 19, 2006·Journal of the American College of Cardiology·Joanne D SchuijfJeroen J Bax
Mar 1, 2007·PloS One·Eva SchönenbergerMarc Dewey
Dec 29, 2007·European Journal of Radiology·Zhonghua SunCheng Hsun Lin
Sep 12, 2009·Journal of the American College of Cardiology·Ron BlanksteinRicardo C Cury
Oct 29, 2009·JAMA : the Journal of the American Medical Association·Carla C Keirns, Susan Dorr Goold
Aug 31, 2010·European Heart Journal·UNKNOWN Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for CardDavid Taggart
Sep 28, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·UNKNOWN Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for CardDavid Taggart
Dec 15, 2010·Annals of Emergency Medicine·Bryn E MummaJudd E Hollander
Mar 26, 2011·Journal of Thoracic Imaging·Niels C F SandgaardHans Mickley
May 6, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ronald P CaputoTejas Patel
Jun 24, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Kohei HosokawaTeruhito Mochizuki
Jun 2, 2012·Journal of the American College of Cardiology·Seung-Jung ParkYasunori Ueda
Jul 14, 2012·Journal of the American College of Cardiology·Young-Hak KimSeung-Jung Park
Dec 12, 2012·Journal of the American College of Cardiology·Sharmila DorbalaLeslee J Shaw
Jan 17, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Matthias RiefMarc Dewey
Apr 2, 2014·The International Journal of Cardiovascular Imaging·Hye Rin KimCharles S White
Jul 6, 2014·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Meryl DarlingtonIsabelle Durand-Zaleski

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Citations

Feb 8, 2018·Scandinavian Journal of Clinical and Laboratory Investigation·Xian-Ke Qiu, Jun Ma
Jan 22, 2021·Irish Journal of Medical Science·Huai YuMao-En Xu

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Clinical Trials Mentioned

NCT00967876

Software Mentioned

SPSS

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