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Vascular imaging findings with high-pitch low-dose dual-source CT in atypical Kawasaki disease
Mecit Kantarcı1, Elif Güven1, Naci Ceviz2
1Department of Radiology, Atatürk University School of Medicine, Erzurum, Turkey.
Insights
High-pitch low-dose dual-source CT angiography effectively detects vascular abnormalities like aneurysms and thrombosis in children with atypical Kawasaki disease (AKD). This fast imaging technique aids in diagnosing and managing AKD, improving patient outcomes.
Area of Science:
- Cardiovascular Imaging
- Pediatric Radiology
- Vascular Disease
Background:
- Atypical Kawasaki disease (AKD) diagnosis and management require accurate assessment of vascular complications.
- Aneurysms, thrombosis, and stenosis are critical findings in AKD patients.
- Early detection of vascular issues is crucial for preventing long-term complications.
Purpose of the Study:
- To evaluate the utility of high-pitch low-dose dual-source CT angiography in pediatric patients with suspected AKD.
- To identify the presence of aneurysms, thrombosis, and stenosis in AKD patients.
- To assess the efficacy of this imaging technique for AKD diagnosis and follow-up.
Main Methods:
- A 5-year retrospective study involving 17 pediatric patients with suspected AKD.
- High-pitch low-dose dual-source CT angiography was performed.
- Diagnosis of AKD was based on American Heart Association criteria.
Main Results:
- Vascular abnormalities were detected in 11 out of 17 patients.
- Arterial aneurysms were found in 11 patients, including coronary and systemic arteries.
- One patient presented with an arterial aneurysm and thrombus; three had both coronary and systemic aneurysms.
Conclusions:
- High-pitch low-dose dual-source CT angiography is a valuable tool for detecting vascular abnormalities in AKD.
- This imaging modality can identify aneurysms, stenosis, and occlusions in pediatric AKD patients.
- The technique is recommended for its speed, ease of use, and robustness in diagnosing AKD.
Purpose:
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.
Methods:
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.
Results:
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.
Conclusion:
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.
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