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Quantitative evaluation of coronary artery visibility on CT angiography in Kawasaki disease: young vs. old children

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Abstract
Coronary artery visibility on coronary CT angiography has rarely been investigated in young children with Kawasaki disease. This retrospective study was performed to quantitatively evaluate and compare coronary artery visibility with sufficient quality to measure it on coronary CT angiography among younger and older children with Kawasaki disease. Seventy-eight consecutive children with Kawasaki disease who underwent coronary CT angiography were divided into two groups: group 1 (age ≤ 6?years; n = 37) and group 2 (age > 6?years and < 18?years; n = 41). The visibility of the right coronary artery, left anterior descending artery, and left circumflex artery was quantitatively evaluated by dividing the length of the assessable coronary artery by the length of the corresponding groove, and compared between the two groups. The coronary artery visibility in group 1 was significantly lower than that in group 2 for the right coronary artery (77.8 ± 26.3% vs. 94.2 ± 13.6%, p < 0.002) and left anterior descending artery (54.8 ± 19.5% vs. 69.6 ± 21.3%, p < 0.003, but the difference was not significant for the left circumflex artery (43.7 ± 23.1% vs. 43.9 ± 26.7%, p > 0.9). In both groups, the visibility of the right coronary artery was the highest, followed by those of the left anterior descending artery and left circumflex artery. Compared with older children with Kawasaki disease, younger children with Kawasaki disease demonstrate significantly lower visibility of the right coronary artery and left anterior descending artery on coronary CT angiography. In contrast, the visibility of the left circumflex artery showed no significant difference between younger and older children with Kawasaki disease.
Author(s)
구현우
Issued Date
2021
Type
Article
Keyword
AnalysisAngiographyCardiac ImagingCardiologyChildrenCoronary heart diseaseCT imagingDiseasesImagingKawasaki diseaseMedical collegesMedical researchMedicineMedicine &amp; Public HealthExperimentalOriginal PaperRadiology
DOI
10.1007/s10554-020-02054-6
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7844
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2449996003&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Quantitative%20evaluation%20of%20coronary%20artery%20visibility%20on%20CT%20angiography%20in%20Kawasaki%20disease:%20young%20vs.%20old%20children&amp;offset=0&amp;pcAvailability=true
Publisher
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
Location
미국
Language
영어
ISSN
1569-5794
Citation Volume
37
Citation Number
3
Citation Start Page
1085
Citation End Page
1092
Appears in Collections:
Medicine > Medicine
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