Background: Invasive Fractional Flow Reserve Obstructive coronary artery disease (CAD) produces symptoms and increases the risk of adverse cardiac outcomes. However, determining whether a particular coronary stenosis is responsible for causing myocardial ischemia can be challenging, even with invasive coronary angiography (ICA). To help guide decisions in the cardiac catheterization laboratory,...

OBJECTIVE Cerebral aneurysms can cause substantial morbidity and mortality, specifically if they rupture, leading to nontraumatic subarachnoid hemorrhage (SAH). This meta-analysis summarizes evidence about the accuracy of noninvasive computed tomographic (CT) angiography for diagnosing intracranial aneurysms in symptomatic patients. METHODS Four databases including PubMed were searched withou...

BACKGROUND Lower endoscopy (LE) is the standard diagnostic modality for lower gastrointestinal bleeding (LGIB). Conversely, computed tomographic angiography (CTA) offers an immediate non-invasive diagnosis visualizing the entire gastrointestinal tract. The aim of this study was to compare these 2 modalities with regards to diagnostic value and bleeding control. METHODS Tertiary center retrosp...

A 58-year-old man presented with persistent lung mass (Fig. 1). Pulmonary sequestration was diagnosed with multidetector CT angiography (MDCT) (Fig. 2). Advantages of MDCT over conventional angiography include its non-invasive nature, improved resolution and delineation of vasculature, 3D renderings, shorter acquisition time, and less exposure to radiation. Fig. 1. Computed tomography of the ch...

Ionizing radiation has long been known to increase the risk of cancer. X-rays and γ-rays are officially classified as a carcinogen by the World Health Organization's International Agency for Research on Cancer.(1) Of the 5 billion imaging investigations performed worldwide two-thirds employ ionizing radiation.(2) Diagnostic x-rays are the largest man-made source of radiation exposure to the gen...

Copyright © 2007 Massachusetts Medical Society. A 51-year-old woman presents with a generalized tonic–clonic seizure. After a brief postictal period, she recovers fully and does not report headache or other neurologic symptoms. She takes no medications and her medical history is unremarkable. Computed tomography of the head suggests a right occipital arteriovenous malformation, without evidence...

conclusions invasive treatment of dialysis patients for cvc related complications is effective and durable during mid-term follow up with no re-intervention, clinical episode of vte or death. cta is a reliable mean for the diagnosis of cvc related complications. methods this is a retrospective analysis of prospectively collected data of dialysis patients treated for cvc-related complications an...

The origins of the branches of the subclavian artery are known to be variable. We present the case of a 55-year-old man whose coronary artery bypass surgery necessitated the use of the internal thoracic artery as he lacked other suitable venous conduits. The left internal thoracic artery appeared to be absent on subselective subclavian angiography. Computed tomographic angiography revealed a pr...

The introduction of multislice computed tomography angiography (MSCT) has provided new information for percutaneous coronary intervention (PCI), especially in complex lesions. It provides valuable adjustments about coronary lesions, which are predictors of procedural success, for example, in chronic total occlusions, in bifurcations and recently in aorto-ostial lesion PCI. In multiple fields, t...

Copyright © 2007 Massachusetts Medical Society. A 51-year-old woman presents with a generalized tonic–clonic seizure. After a brief postictal period, she recovers fully and does not report headache or other neurologic symptoms. She takes no medications and her medical history is unremarkable. Computed tomography of the head suggests a right occipital arteriovenous malformation, without evidence...