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Imaging of coronary artery fistulas by multidetector computed tomography: is multidetector computed tomography

Fehmi Kacmaz1, Nilgun Isiksalan Ozbulbul, Omer Alyan

  • 1Cardiology Clinics, Turkish Society of Cardiology, Ankara, Turkey. kacmazfehmi@superonline.com

Clinical Cardiology
|January 19, 2008
PubMed

Insights

Multidetector computed tomography (MDCT) shows 73% sensitivity for detecting coronary artery fistulas (CAFs). This advanced imaging is particularly effective for CAFs between vascular structures, offering an alternative to coronary angiography.

Area of Science:

  • Cardiovascular Imaging
  • Diagnostic Radiology

Background:

  • Coronary angiography is the gold standard for diagnosing coronary artery fistulas (CAFs).
  • Multidetector computed tomography (MDCT) is an emerging technique for visualizing coronary artery anatomy, including stenosis, anomalies, and fistulas.

Purpose of the Study:

  • To evaluate the diagnostic accuracy and sensitivity of MDCT in identifying patients with coronary artery fistulas (CAFs).

Main Methods:

  • A study involving 13 patients with 15 previously diagnosed CAFs using coronary angiography.
  • MDCT was performed on all patients, with results compared against coronary angiography to determine MDCT sensitivity.

Main Results:

  • MDCT successfully visualized 11 out of 15 CAFs, yielding an overall sensitivity of 73%.
  • Sensitivity was higher (87%) for CAFs coursing between vascular structures, but lower (58%) for those between coronary arteries and cardiac chambers.

Conclusions:

  • While coronary angiography remains the gold standard, MDCT presents a viable alternative for CAF diagnosis.
  • MDCT's high spatial resolution and ability to depict anatomical relationships make it especially useful for characterizing CAFs between vascular structures, including their origin, course, and drainage.
Abstract

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