Die CT-Koronarangiografie als elektive Diagnostik bei KHK-Verdacht

Zusammenfassung

Mit der koronaren CT-Angiografie (CTA) können atherosklerotische Plaques nachgewiesen und Stenosen erkannt sowie zuverlässig ausgeschlossen werden. Die CTA ist insbesondere bei Patienten mit eher niedriger Vortestwahrscheinlichkeit geeignet, um Koronarstenosen – und damit eine koronare Herzerkrankung – auszuschließen. Dies setzt aber voraus, dass die technischen Anforderungen erfüllt und die Patienten sorgfältig ausgewählt und vorbereitet sind.

Abstract

Coronary CT angiography (CTA) is increasingly used as a diagnostic test in patients with suspected coronary artery disease. Coronary CTA, if adequately performed, allows to identify coronary atherosclerotic plaque and detecting and particularly ruling out the presence of coronary artery stenoses can be achieved with a high degree of accuracy. Prospective studies have consistently shown a very good prognosis in patients with normal coronary CTA examinations. This makes coronary CTA a particularyly useful test to rule out coronary artery disease in patients with a relatively low pre-test likelihood, but high image quality, achieved through the use of high-end technology, adequate patient selection, and careful patient preparation, remains a prerequisite for reliable diagnostic results.

Schlüsselwörter

Computertomografie - koronare Herzerkrankung - Atherosklerose

Key words

computed tomography - coronary artery disease - atherosclerosis

• Literatur

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