Poster électronique

Angioscanner thoracique avec synchronisation ECG : évaluation en routine pour le diagnostic d'une douleur thoracique
G. Bierry, C. Roy, H. Jlassi, C. Nicolas-Ong, B. Sauer, X. Buy, A. Gangi - Strasbourg - France
Congrès 2008
Résumé
Objectifs
Evaluer la faisabilité en routine d'un protocole d'angioscanner thoracique synchroniséà l'ECG pour le diagnostic d'une douleur thoracique aiguë en urgence. Préciser l'intérêt particulier de l'analyse des artères coronaires et du myocarde. Comparer la concordance des résultats entre radiologues seniors et internes.
Matériels et méthodes
Inclusion de 30 patients ayant une douleur thoracique aiguë atypique. Réalisation d'un angioscanner de l'ensemble du thorax avec synchronisation rétrospective à l'ECG. Evaluation des artères pulmonaires et coronaires, de l'aorte et du myocarde par 2 radiologues senior et un interne de façon indépendante. Calcul de l'accord interobservateur et du temps total d'interprétation.
Résultats
Diagnostic retrouvé chez 19 patients : sténose coronarienne significative (5) , embolie pulmonaire (5) , dissection aortique (1) , cardiopathie hypokinétique (2) , non vasculaire (6). Agrément interobservateur très bon à excellent entre radiologues seniors et junior. Temps moyen d'interprétation : 12 à 17 minutes.
Conclusion
L'angioscanner thoracique synchroniséà l'ECG semble être un examen prometteur pour le bilan en routine d'une douleur thoracique, avec des résultats et des durées d'interprétation reproductibles entre radiologues seniors et internes expérimentés.
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2017-08-30 03.11 :
Scott Jones

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2017-04-10 18.17 :
Ann Perez

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