Purpose: To prospectively evaluate the effect of experience with coronary computed tomographic (CT) angiography on the capability to detect coronary stenoses of 50% or more.
Materials And Methods: The institutional review board approved the study protocol. All patients gave consent to undergo CT angiography before conventional coronary angiography after being informed of the additional radiation dose.
Unlabelled: Coronary stent imaging with computed tomography is challenging because of high-density artifacts. However, noninvasive coronary angiography with computed tomography is gaining acceptance as a valid alternative to cardiac catheterization in a broader array of clinical settings, and the work-up of patients after coronary stent implantation represents an application of pressing clinical utility. Only a minority of patients who develop recurrent chest pain after stent implantation have myocardial ischemia, thus a sensitive noninvasive study is desirable.
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