Computed Tomography Coronary Angiography Is Feasible and Reliable for Proximal Coronary Segment Interpretation in Patients with Elevated Body Mass Index.

ABSTRACT: Computed tomography coronary angiography (CTCA) is under-utilised in detecting coronary artery disease (CAD) in obese patients due to concerns about non-evaluable testing. We hypothesise that these concerns are predominantly related to smaller and branch coronary vessels, and CTCA remains adequate for proximal segment stenosis interpretation, which has significant clinical implications. This retrospective cohort study, on consecutive patients referred for CTCA for suspected CAD, grouped patients by body mass index. A 4-point Likert scale assessed image quality, with any poorly visualised segment at the per-patient level resulting in the CTCA being subsequently analysed for proximal coronary artery segment evaluability. Of the 703 patients, 93.5% of the studies were fully evaluable. Patient

SUBMITTER: Salib A 

PROVIDER: S-EPMC11678149 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature