Ghersin E, Litmanovich D, Kerner A, Engel A, Hayek T
Department of Radiology, Rambam Medical Center, B. Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Australas Radiol. 2006 Jun;50(3):267-70. doi: 10.1111/j.1440-1673.2006.01575.x.
We describe a significant left anterior descending coronary lesion in a patient with unstable angina pectoris. This lesion was erroneously underestimated using quantitative coronary angiography; however, CT coronary angiography correctly showed a significant, elongated, eccentric, soft plaque that was later confirmed by repeated quantitative coronary angiography with intravascular ultrasound. As showed, CT coronary angiography may offer a reliable non-invasive alternative to quantitative coronary angiography and intravascular ultrasound by enabling a true 3-D coronary lumenogram combined with plaque detection and characterization.
我们描述了一名不稳定型心绞痛患者存在严重的左前降支冠状动脉病变。使用定量冠状动脉造影术对该病变进行了错误的低估；然而，CT冠状动脉造影正确显示了一个严重的、细长的、偏心的软斑块，随后通过重复的定量冠状动脉造影结合血管内超声得以证实。如图所示，CT冠状动脉造影通过生成真实的三维冠状动脉腔造影图并结合斑块检测与特征分析，可为定量冠状动脉造影术和血管内超声提供一种可靠的非侵入性替代方法。
