On study of CCTA detection for epicardial adipose tissue and pericardial adipose tissue in the diagnosis of coronary stent restenosis
10.3969/J.ISSN.1672-8270.2017.01.015
- VernacularTitle:冠状动脉CT血管造影检查中心外膜脂肪及心周脂肪在诊断冠状动脉支架再狭窄中的研究
- Author:
Yuhui WU
;
Huiying ZHANG
- Keywords:
Epicardial adipose tissue;
Coronary CT angiography;
Pericardial adipose tissue;
coronary stent implantation;
Restenosis
- From:
China Medical Equipment
2017;14(1):45-47,48
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To research the application value of coronary CT angiography(CTA) detection for epicardial adipose tissue(EAT) and pericardial adipose tissue(PAT) in the diagnosis of coronary stent restenosis.Method:Selected 68 cases coronary atherosclerotic stenosis patients who were treated by coronary stent from June 2012 to June 2013 in hospital. All patients were detected after the operation of CTA within 3 years and they were divided into two groups (coronary stent restenosis positive group included 29 cases, negative group included 39 cases). To analyze the relationship between EAT and PAT through the statistical method and analyze the application value of EAT and PAT in the diagnosis of coronary stent restenosis based on calcification score image measurement of EAT and PAT volume.Results: Correlation analysis results showed there was correlation between EAT volume and PAT volume (r=0.859,P<0.05); through compared CAG and the diagnostic results of coronary artery stent restenosis by EAT and PAT, the sensitivity was 82.87%, specificity was 84.62%, CCTA positive predictive value was 80.00%, negative predictive value was 86.84% and diagnostic accuracy was 83.82% of the stent patency which was evaluated by CAG. The consistency evaluation marker Kappa was 0.554. The analysis of patients with coronary stent restenosis showed that there was significant correlation between Gensini score of coronary stent restenosis and EAT and PAT(P<0.05).Conclusion:There was significant correlation between EAT volume and PAT volume, and they can be used to evaluate the sensitivity and specificity of coronary stent operation restenosis and the results were higher. Besides, its clinical diagnostic value was similar with CAG.
