Ces radiol. 2015, 69(4):254-265 | DOI: 10.55095/CesRadiol2015/037

Emergent cardiac CT angiography, the value of the multiparametric assessment of findings in critical ill patientsOriginal article

Jiří Ferda¹, Jan Baxa¹, Jan Pešek², Roman Bosman³

¹ Klinika zobrazovacích metod FN, Plzeň

² Kardiologické oddělení FN, Plzeň

³ Klinika resuscitace a intenzivní medicíny FN, Plzeň

Aim: To evaluate the value of the complex cardiac CT imaging in emergent situations.

Method: During 6 months, the analysis was performed in acutely performed cardiac CT using first generation of dualsource system (Somatom Definition DSCT, Siemens HealthCare, Forchheim, Germany). In the assessment of the findings was used evaluation of coronary CTA using VT and multiplanar reconstructions, calculation of the cardiac volumes based by the multiphase CT data reconstruction and the evaluation of first-pass enhancement perfusion maps.

Results: During 6 months, 339 cardiac CTs were performed, including 26 urgent examination in critically ill patients, in 10 the acute non-STEMI myocardial infarction, 7 infarctions were confirmed. In 6 patients, the acute chest pain occurred after revascularization by bypass grafting; in 3 cases the acute complication after cardiosurgery were present. In 7 patients, the cardiac imaging was performed as an initial imaging before treatment of aortic dissections or surgery due to the acute aortic endocarditis.

Conclusion: Emergent cardiac CT using dualsource CT is an effective imaging tool including patients in emerging situations, it can provide a valid information leading to the shortening of needed time to initiation of tailored therapy.

Keywords: cardiac CT coronary arteries, myocardial perfusion, critically ill patient, endokarditis

Grants and funding:

Podpořeno projektem Ministerstva zdravotnictví ČR Koncepční rozvoj výzkumné instituce 00669806 - FN Plzeň a Programem rozvoje vědních oborů Karlovy Univerzity (projekt P36).

Accepted: February 15, 2015; Published: December 1, 2015  Show citation