Kantarcı Mecit, Güven Elif, Ceviz Naci, Oğul Hayri, Sade Recep
Department of Radiology, Atatürk University School of Medicine, Erzurum, Turkey.
Department of Pediatric Cardiology, Atatürk University School of Medicine, Erzurum, Turkey.
Diagn Interv Radiol. 2019 Jan;25(1):50-54. doi: 10.5152/dir.2018.18092.
Determining the presence of aneurysms, thrombosis, and stenosis is very important for the diagnosis of atypical Kawasaki disease (AKD) and in the follow-up of AKD patients with aneurysms. We aimed to demonstrate high-pitch low-dose dual-source computed tomography (CT) angiography findings in pediatric patients with AKD.
Over a 5-year period, high-pitch low-dose CT angiography was performed to determine vascular aneurysms or occlusions in 17 patients who had suspected AKD. The patients ranged from 2 months of age to 11.3 years, with a mean age of 3 years. The American Heart Association's criteria were used to diagnose AKD.
We did not detect any vascular problems in 6 of the patients, and they were not included in our study. Arterial aneurysms were present in 11 patients (aged 2 months to 11.3 years; mean age, 4.2 years; 7 males). In one patient, there was also a thrombus at an arterial aneurysm. Coronary artery aneurysms were detected in 7 patients and systemic artery aneurysms were detected in 7 patients. Three patients had both systemic and coronary aneurysms.
Our results suggest that high-pitch low-dose dual-source CT can detect all types of aneurysms, stenosis and occlusions of vessels in patients with AKD who were not previously diagnosed. This useful, easy, robust and fast technique may be preferred to diagnose AKD.
确定动脉瘤、血栓形成和狭窄的存在对于非典型川崎病（AKD）的诊断以及患有动脉瘤的AKD患者的随访非常重要。我们旨在展示AKD儿科患者的高螺距低剂量双源计算机断层扫描（CT）血管造影结果。
在5年期间，对17例疑似AKD的患者进行了高螺距低剂量CT血管造影，以确定血管动脉瘤或闭塞情况。患者年龄从2个月至11.3岁不等，平均年龄为3岁。采用美国心脏协会的标准诊断AKD。
我们在6例患者中未检测到任何血管问题，这些患者未纳入我们的研究。11例患者存在动脉动脉瘤（年龄2个月至11.3岁；平均年龄4.2岁；7例男性）。1例患者的动脉动脉瘤处还存在血栓。7例患者检测到冠状动脉瘤，7例患者检测到体动脉瘤。3例患者同时存在体动脉和冠状动脉瘤。
我们的结果表明，高螺距低剂量双源CT可以检测出先前未诊断出的AKD患者的所有类型的动脉瘤、血管狭窄和闭塞。这种有用、简便、可靠且快速的技术可能更适合用于诊断AKD。
