Native aorto-ostial coronary lesions on CT coronary angiogram.

Br J Radiol

Department of Radiology, Hammersmith Hospital, Imperial College Healthcare NHS trust, London, United Kingdom.

Published: July 2021

Aorto-ostial coronary lesions (AOLs) are important to detect due to the high risk of catastrophic consequences. Unfortunately, due to the complexities of these lesions, they may be missed on invasive coronary angiography. Computed tomography coronary angiogram (CTCA) is highly sensitive and specific in detecting AOLs, and has the additional advantage of demonstrating the surrounding anatomy. CTCA is particularly useful when assessing for AOL aetiologies in addition to atherosclerotic disease, ongenital anomalies, extrinsic ompression, atrogenic, rteritis and ther, such as hrombus, mbolism, issection and pasm. This gives rise to " ()" as a proposed aide-mémoire and will form the structure of this pictorial review.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248224PMC
http://dx.doi.org/10.1259/bjr.20210211DOI Listing

Publication Analysis

Top Keywords

aorto-ostial coronary
8
coronary lesions
8
coronary angiogram
8
coronary
5
native aorto-ostial
4
lesions coronary
4
angiogram aorto-ostial
4
lesions aols
4
aols detect
4
detect high
4

Similar Publications

Background: Elective unprotected left main (ULM) percutaneous coronary intervention (PCI) has long-term mortality rates comparable to surgical revascularization, thanks to advances in drug-eluting stent (DES) design, improved PCI techniques, and frequent use of intravascular imaging. However, urgent PCI of ULM culprit lesions remains associated with high in-hospital mortality and unfavourable long-term outcomes, including DES restenosis and stent thrombosis (ST). This analysis aimed to examine the long-term outcomes and healing of DES implanted in ULM during primary PCI using high-resolution optical coherence tomography (OCT) imaging.

View Article and Find Full Text PDF
Article Synopsis
  • * A total of 454 patients were included, with more men than women, and women showed higher rates of acute coronary syndrome and aorto-ostial lesions.
  • * Results indicated that despite differences in clinical presentation, the safety and efficacy outcomes of IVL were comparable between men and women, demonstrating its effectiveness across genders.
View Article and Find Full Text PDF

What to do with a protruding coronary stent in the aorta?

Indian J Thorac Cardiovasc Surg

November 2024

Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham (Amrita University), Ponnekara PO, Kochi, PIN 682041 India.

Coronary artery stents protruding into the aorta is a rarely reported problem. Issues with the protruding stent include embolization and interference with aortic valve function. Management of this rare situation should be on an individualized basis.

View Article and Find Full Text PDF

Background: PCI for aorto-ostial CTO remains challenging. The techniques for guidewire in aorto-ostial CTO may differ from those used in non-aorto-ostial CTOs, influenced by clinical and angiographic characteristics.

Objectives: This study aimed to assess the technical aspects and outcomes of percutaneous coronary intervention (PCI) in patients with aorto-ostial chronic total occlusion (CTO).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!