Application of Targeted Coronary Angiography in the Diagnosis of Sudden Cardiac Death.
10.12116/j.issn.1004-5619.2022.421108
- Author:
Xin ZHAO
1
;
Zhi-Ming CHEN
1
;
Wen-Yun LIU
2
;
Bo WANG
1
;
Hong-Yang LI
1
;
Li-Yao YANG
1
;
Yan TENG
2
;
Li-Jun WANG
3
;
Yan-Bin GAO
3
;
Wei-Long CHEN
4
;
Lei ZHANG
2
Author Information
1. Department of Forensic Medicine, College of Basic Medical Sciences, Jilin University, Changchun 130021, China.
2. Department of Radiology, The First Hospital of Jilin University, Changchun 130021, China.
3. Judicial Identification Center of Changchun Public Security Bureau, Changchun 130021, China.
4. Institute of Forensic Science, Public Security Department of Jilin Province, Changchun 130051, China.
- Publication Type:Journal Article
- Keywords:
5F pigtail catheter;
coronary angiography;
coronary artery calcium score (CaS);
coronary heart disease;
forensic pathology;
postmortem computed tomography angiography (PMCTA);
sudden death
- MeSH:
Humans;
Computed Tomography Angiography/methods*;
Coronary Angiography/methods*;
Coronary Artery Disease/diagnostic imaging*;
Coronary Stenosis/diagnostic imaging*;
Death, Sudden, Cardiac/pathology*
- From:
Journal of Forensic Medicine
2023;39(6):542-548
- CountryChina
- Language:English
-
Abstract:
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.
