Application of Targeted Coronary Angiography in the Diagnosis of Sudden Cardiac Death.

Zhao Xin, Chen Zhi-Ming, Liu Wen-Yun, Wang Bo, Li Hong-Yang, Yang Li-Yao, Teng Yan, Wang Li-Jun, Gao Yan-Bin, Chen Wei-Long, Zhang Lei

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Аннотация

OBJECTIVES

To diagnose coronary artery stenosis by using the postmortem computed tomography angiography (PMCTA), and to explore the diagnostic value of PMCTA in sudden cardiac death.

METHODS

Six death cases were selected, and the contrast medium iohexol was injected under high pressure through femoral artery approach with 5F pigtail catheter to obtain coronary image data and then the data was analyzed. The results of targeted coronary imaging and coronary artery calcium score (CaS) were compared with the results of conventional autopsy and histopathological examination.

RESULTS

The autopsy and histopathological examination of cases with coronary artery stenosis obtained similar results in targeted coronary angiography, with a diagnostic concordance rate of 83.3%. Targeted coronary angiography could effectively show coronary artery diseases, and the CaS was consistent with the results of conventional autopsy and histopathological examination.

CONCLUSIONS

Targeted coronary angiography can be used as an effective auxiliary method for conventional autopsy in cases of sudden cardiac death.

Для цитирования: Zhao Xin, Chen Zhi-Ming, Liu Wen-Yun, Wang Bo, Li Hong-Yang, Yang Li-Yao, Teng Yan, Wang Li-Jun, Gao Yan-Bin, Chen Wei-Long, Zhang Lei. Application of Targeted Coronary Angiography in the Diagnosis of Sudden Cardiac Death.. Fa yi xue za zhi. 2023. DOI: 10.12116/j.issn.1004-5619.2022.421108.

Предметные рубрики MeSH

Humans Computed Tomography Angiography Coronary Angiography Coronary Artery Disease Coronary Stenosis Death, Sudden, Cardiac

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