Evidence map›Paper›PMID 30004788›Full record

ArticleThe British journal of radiology2018

CT angiography prior to TAVI procedure using third-generation scanner with wide volume coverage: feasibility, renal safety and diagnostic accuracy for coronary tree.

Andrea D Annoni, Daniele Andreini, Gianluca Pontone, Maria Elisabetta Mancini, Alberto Formenti, Saima Mushtaq, Andrea Baggiano, Edoardo Conte, Marco Guglielmo, Giuseppe Muscogiuri and 7 more

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Pre-TAVI imaging: an Italian survey by the CT PRotocol optimization (CT-PRO) group.The international journal of cardiovascular imaging · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Combined CT Coronary Artery Assessment and TAVI Planning.Diagnostics (Basel, Switzerland) · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 2 institutions in 2 countries.

Andrea D Annoni1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Daniele Andreini1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Gianluca Pontone1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Maria Elisabetta Mancini1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Alberto Formenti1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Saima Mushtaq1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Andrea Baggiano
Edoardo Conte1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Marco Guglielmo1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Giuseppe Muscogiuri1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Manuela Muratori1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Laura Fusini1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Daniela Trabattoni1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Giovanni Teruzzi1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Ana I Coutinho Santos2 Imaging Department, Centro Hospitalar de Lisboa Ocidental, E.P.E , Lisboa , Portugal.
Marco Agrifoglio3 Department of Clinical Sciences and Community Health, University of Milan , Milan , Italy.
Mauro Pepi1 Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy.
Centro Cardiologico Monzino · ITCentro Hospitalar de Lisboa Ocidental · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective: To evaluate feasibility, image quality and accuracy of a reduced contrast volume protocol for pre-procedural CT imaging in transcatheter aortic valve implantation (TAVI) using a third generation wide array CT scanner.

methods: 115 consecutive patients (51F, mean age 82.5 ± 6.2 y, mean BMI 26.7 ± 3.6) referred for TAVI were examined with wide-array CT scanner with a combined scan protocol and a total amount of 50 ml contrast agent. A 4-point visual scale (4-1) was used to assess image quality . Contrast attenuation values (HU) and contrast-to-noise ratio (CNR) were measured at the level of the aortic root, ascending/descending aorta, subrenal aorta and at the level of right and left common femoral arteries. Coronary tree was assessed and compared with invasive coronary angiography (ICA). Aortic annulus measurements were compared with final procedural results. Patients creatinine was monitored at the baseline and 72 h after procedure.

results: Median quality score value was >3. Mean CNR at the level of the aortic root, ascending/descending aorta, subrenal aorta and at the level of right and left common femoral arteries were 14.8 ± 2.3, 15.7 ± 1.7, 14.9 ± 3.1, 15.8 ± 4.7, 20.3 ± 9.9, 20.8 ± 6.9 respectively. Only 1 patient had moderate paravalvular regurgitation. In comparison with ICA for coronary assessment CTA showed in a segment based analysis sensitivity, specificity, negative predictive value, positive predictive value and accuracy of 97, 85, 99,62 and 88% respectively. Mean creatinine before CT and 72 h after procedure were 1.21 ± 0.52 and1.22 ± 0.49 mg dl

conclusion: CT with low contrast volume is feasible and clinically useful, allowing precise pre-procedural TAVI planning with accurate assessment of coronary tree. ADVANCES IN KNOWLEDGE:: third generation CT scanner with whole heart coverage allows examinations for assessment of aorta and coronary arteries in TAVI planning using low dose of contrast medium maintaining good quality and high diagnostic accuracy.

Indexed as

Transcatheter Aortic Valve ReplacementAgedAged, 80 and overAortaComputed Tomography AngiographyContrast MediaCoronary AngiographyCoronary VesselsCreatinineFeasibility StudiesFemoral ArteryGlomerular Filtration RateHumansPatient Care PlanningRadiation DosageRadiographic Image EnhancementContrast MediaCreatinine

Identifiers

PMID30004788
PMCPMC6350483
OpenAlexW2883854358

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.