ISSN 1305-3825 | E-ISSN 1305-3612
Cardiovascular Imaging - Review
Clinical situations in which coronary CT angiography confers superior diagnostic information compared with coronary angiography
1 Department of Radiology, Atatürk University Faculty of Medicine, Erzurum, Turkey  
2 Department of Radiology, Erciyes University School of Medicine, Kayseri, Turkey  
3 Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey  
4 Department of Diagnostic Radiology, University of Pamukkale, Denizli, Turkey  
5 Department of Cardiology, Atatürk University School of Medicine, Erzurum, Turkey  
6 Department of Radiology, Atatürk University School of Medicine, Erzurum, Turkey  
7 Kadir Has Üniversitesi Tıp Fakültesi, Radyodiagnostik Anabilim Dalı  
8 Department of Radiology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey.  
9 Department of Radiology, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts, USA  
Diagn Interv Radiol 2012; 18: 261-269
DOI: 10.4261/1305-3825.DIR.5064-11.1
Key Words: computed tomography • coronary angiography• coronary arteries
Abstract

In this review, we aimed to outline the clinical and pathological conditions for which multidetector computed tomography coronary angiography (MDCT-CA) should be the preferred method because of its advantages over conventional coronary angiography (CCA). A consistent body of literature suggests that MDCT-CA is more than just complementary to CCA and that it provides more valuable diagnostic information in certain clinical situations, such as complex coronary artery variations, aorto-ostial lesions, follow-up of bypass grafts, myocardial bridging, coronary artery fistulas, aortic and coronary artery dissections, and cases in which the coronary ostia cannot be cannulated by a catheter because of massive atherosclerosis or extremely tortuous vascular structures.

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