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Erschienen in: Pediatric Radiology 13/2022

04.11.2021 | Minisymposium: Pediatric cardiovascular CT

Coronary computed tomography angiography in children

verfasst von: LaDonna J. Malone, Cara E. Morin, Lorna P. Browne

Erschienen in: Pediatric Radiology | Ausgabe 13/2022

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Abstract

Imaging the coronary arteries of children, with their faster heart rates, small vessel size and common inability to lie still or breath-hold, has been a major challenge. With numerous advances in technology, CT examinations can now be performed quickly, often with children free-breathing and with much lower radiation doses than previously. This has led to increased use in children. Care must be taken with technique and choice of electrocardiogram (ECG)-gating technique to obtain adequate imaging for a diagnosis while keeping radiation dose as low as reasonably achievable (ALARA). In this paper, we discuss techniques and tips for CT imaging of the coronary arteries in children, including use of dual-source- and ultrawide-detector CT scanners.
Literatur
1.
Zurück zum Zitat Frommelt P, Lopez L, Dimas VV et al (2020) Recommendations for multimodality assessment of congenital coronary anomalies: a guide from the American Society of Echocardiography: developed in collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 33:259–294PubMedCrossRef Frommelt P, Lopez L, Dimas VV et al (2020) Recommendations for multimodality assessment of congenital coronary anomalies: a guide from the American Society of Echocardiography: developed in collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 33:259–294PubMedCrossRef
2.
Zurück zum Zitat Achenbach S, Marwan M, Schepis T et al (2009) High-pitch spiral acquisition: a new scan mode for coronary CT angiography. J Cardiovasc Comput Tomogr 3:117–121PubMedCrossRef Achenbach S, Marwan M, Schepis T et al (2009) High-pitch spiral acquisition: a new scan mode for coronary CT angiography. J Cardiovasc Comput Tomogr 3:117–121PubMedCrossRef
3.
Zurück zum Zitat Paul J-F, Rohnean A, Sigal-Cinqualbre A (2010) Multidetector CT for congenital heart patients: what a paediatric radiologist should know. Pediatr Radiol 40:869–875PubMedCrossRef Paul J-F, Rohnean A, Sigal-Cinqualbre A (2010) Multidetector CT for congenital heart patients: what a paediatric radiologist should know. Pediatr Radiol 40:869–875PubMedCrossRef
4.
Zurück zum Zitat Long CM, Long SS, Johnson PT et al (2015) Utility of low-dose high-pitch scanning for pediatric cardiac computed tomographic imaging. J Thorac Imaging 30:W36-40PubMedCrossRef Long CM, Long SS, Johnson PT et al (2015) Utility of low-dose high-pitch scanning for pediatric cardiac computed tomographic imaging. J Thorac Imaging 30:W36-40PubMedCrossRef
5.
Zurück zum Zitat Han BK, Rigsby CK, Leipsic J et al (2015) Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of [sic] Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 9:493–513PubMedCrossRef Han BK, Rigsby CK, Leipsic J et al (2015) Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of [sic] Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 9:493–513PubMedCrossRef
6.
Zurück zum Zitat Han BK, Rigsby CK, Hlavacek A et al (2015) Computed tomography imaging in patients with congenital heart disease part I: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of [sic] Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 9:475–492PubMedCrossRef Han BK, Rigsby CK, Hlavacek A et al (2015) Computed tomography imaging in patients with congenital heart disease part I: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of [sic] Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 9:475–492PubMedCrossRef
7.
Zurück zum Zitat Zheng M, Zhao H, Xu J et al (2013) Image quality of ultra-low-dose dual-source CT angiography using high-pitch spiral acquisition and iterative reconstruction in young children with congenital heart disease. J Cardiovasc Comput Tomogr 7:376–382PubMedCrossRef Zheng M, Zhao H, Xu J et al (2013) Image quality of ultra-low-dose dual-source CT angiography using high-pitch spiral acquisition and iterative reconstruction in young children with congenital heart disease. J Cardiovasc Comput Tomogr 7:376–382PubMedCrossRef
8.
Zurück zum Zitat Secinaro A, Curione D, Mortensen KH et al (2019) Dual-source computed tomography coronary artery imaging in children. Pediatr Radiol 49:1823–1839PubMedCrossRef Secinaro A, Curione D, Mortensen KH et al (2019) Dual-source computed tomography coronary artery imaging in children. Pediatr Radiol 49:1823–1839PubMedCrossRef
9.
Zurück zum Zitat Tomizawa N, Maeda E, Akahane M et al (2013) Coronary CT angiography using the second-generation 320-detector row CT: assessment of image quality and radiation dose in various heart rates compared with the first-generation scanner. Int J Cardiovasc Imaging 29:1613–1618PubMedCrossRef Tomizawa N, Maeda E, Akahane M et al (2013) Coronary CT angiography using the second-generation 320-detector row CT: assessment of image quality and radiation dose in various heart rates compared with the first-generation scanner. Int J Cardiovasc Imaging 29:1613–1618PubMedCrossRef
10.
Zurück zum Zitat Huang M-P, Liang C-H, Zhao Z-J et al (2011) Evaluation of image quality and radiation dose at prospective ECG-triggered axial 256-slice multi-detector CT in infants with congenital heart disease. Pediatr Radiol 41:858–866PubMedCrossRef Huang M-P, Liang C-H, Zhao Z-J et al (2011) Evaluation of image quality and radiation dose at prospective ECG-triggered axial 256-slice multi-detector CT in infants with congenital heart disease. Pediatr Radiol 41:858–866PubMedCrossRef
11.
Zurück zum Zitat Yao L-P, Zhang L, Li H-M et al (2017) Assessment of coronary artery by prospective ECG-triggered 256 multi-slice CT on children with congenital heart disease. Int J Cardiovasc Imaging 33:2021–2028PubMedCrossRef Yao L-P, Zhang L, Li H-M et al (2017) Assessment of coronary artery by prospective ECG-triggered 256 multi-slice CT on children with congenital heart disease. Int J Cardiovasc Imaging 33:2021–2028PubMedCrossRef
12.
Zurück zum Zitat Le Roy J, Vernhet Kovacsik H, Zarqane H et al (2019) Submillisievert multiphasic coronary computed tomography angiography for pediatric patients with congenital heart diseases. Circ Cardiovasc Imaging 12:e008348 Le Roy J, Vernhet Kovacsik H, Zarqane H et al (2019) Submillisievert multiphasic coronary computed tomography angiography for pediatric patients with congenital heart diseases. Circ Cardiovasc Imaging 12:e008348
13.
Zurück zum Zitat Gottumukkala RV, Kalra MK, Tabari A et al (2019) Advanced CT techniques for decreasing radiation dose, reducing sedation requirements, and optimizing image quality in children. Radiographics 39:709–726PubMedCrossRef Gottumukkala RV, Kalra MK, Tabari A et al (2019) Advanced CT techniques for decreasing radiation dose, reducing sedation requirements, and optimizing image quality in children. Radiographics 39:709–726PubMedCrossRef
14.
Zurück zum Zitat Jadhav SP, Golriz F, Atweh LA et al (2015) CT angiography of neonates and infants: comparison of radiation dose and image quality of target mode prospectively ECG-gated 320-MDCT and ungated helical 64-MDCT. AJR Am J Roentgenol 204:W184-191PubMedCrossRef Jadhav SP, Golriz F, Atweh LA et al (2015) CT angiography of neonates and infants: comparison of radiation dose and image quality of target mode prospectively ECG-gated 320-MDCT and ungated helical 64-MDCT. AJR Am J Roentgenol 204:W184-191PubMedCrossRef
15.
Zurück zum Zitat Ben Saad M, Rohnean A, Sigal-Cinqualbre A et al (2009) Evaluation of image quality and radiation dose of thoracic and coronary dual-source CT in 110 infants with congenital heart disease. Pediatr Radiol 39:668–676PubMedCrossRef Ben Saad M, Rohnean A, Sigal-Cinqualbre A et al (2009) Evaluation of image quality and radiation dose of thoracic and coronary dual-source CT in 110 infants with congenital heart disease. Pediatr Radiol 39:668–676PubMedCrossRef
16.
Zurück zum Zitat Goo HW (2018) Combined prospectively electrocardiography- and respiratory-triggered sequential cardiac computed tomography in free-breathing children: success rate and image quality. Pediatr Radiol 48:923–931PubMedCrossRef Goo HW (2018) Combined prospectively electrocardiography- and respiratory-triggered sequential cardiac computed tomography in free-breathing children: success rate and image quality. Pediatr Radiol 48:923–931PubMedCrossRef
17.
Zurück zum Zitat Goo HW (2018) Identification of coronary artery anatomy on dual-source cardiac computed tomography before arterial switch operation in newborns and young infants: comparison with transthoracic echocardiography. Pediatr Radiol 48:176–185PubMedCrossRef Goo HW (2018) Identification of coronary artery anatomy on dual-source cardiac computed tomography before arterial switch operation in newborns and young infants: comparison with transthoracic echocardiography. Pediatr Radiol 48:176–185PubMedCrossRef
18.
Zurück zum Zitat Goo HW, Yang DH (2010) Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol 40:1670–1680PubMedCrossRef Goo HW, Yang DH (2010) Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol 40:1670–1680PubMedCrossRef
19.
Zurück zum Zitat Jin KN, Park E-A, Shin C-I et al (2010) Retrospective versus prospective ECG-gated dual-source CT in pediatric patients with congenital heart diseases: comparison of image quality and radiation dose. Int J Cardiovasc Imaging 26:63–73PubMedCrossRef Jin KN, Park E-A, Shin C-I et al (2010) Retrospective versus prospective ECG-gated dual-source CT in pediatric patients with congenital heart diseases: comparison of image quality and radiation dose. Int J Cardiovasc Imaging 26:63–73PubMedCrossRef
20.
Zurück zum Zitat Kanie Y, Sato S, Tada A, Kanazawa S (2017) Image quality of coronary arteries on non-electrocardiography-gated high-pitch dual-source computed tomography in children with congenital heart disease. Pediatr Cardiol 38:1393–1399PubMedCrossRef Kanie Y, Sato S, Tada A, Kanazawa S (2017) Image quality of coronary arteries on non-electrocardiography-gated high-pitch dual-source computed tomography in children with congenital heart disease. Pediatr Cardiol 38:1393–1399PubMedCrossRef
21.
Zurück zum Zitat Liu Y, Li J, Zhao H et al (2016) Image quality and radiation dose of dual-source CT cardiac angiography using prospective ECG-triggering technique in pediatric patients with congenital heart disease. J Cardiothorac Surg 11:47PubMedPubMedCentralCrossRef Liu Y, Li J, Zhao H et al (2016) Image quality and radiation dose of dual-source CT cardiac angiography using prospective ECG-triggering technique in pediatric patients with congenital heart disease. J Cardiothorac Surg 11:47PubMedPubMedCentralCrossRef
22.
Zurück zum Zitat Marukawa Y, Sato S, Tanaka T et al (2017) Evaluating low-kV dual-source CT angiography by high-pitch spiral acquisition and iterative reconstruction in pediatric congenital heart disease patients. Acta Med Okayama 71:407–412PubMed Marukawa Y, Sato S, Tanaka T et al (2017) Evaluating low-kV dual-source CT angiography by high-pitch spiral acquisition and iterative reconstruction in pediatric congenital heart disease patients. Acta Med Okayama 71:407–412PubMed
23.
Zurück zum Zitat Gao W, Zhong YM, Sun AM et al (2016) Diagnostic accuracy of sub-mSv prospective ECG-triggering cardiac CT in young infant with complex congenital heart disease. Int J Cardiovasc Imaging 32:991–998PubMedCrossRef Gao W, Zhong YM, Sun AM et al (2016) Diagnostic accuracy of sub-mSv prospective ECG-triggering cardiac CT in young infant with complex congenital heart disease. Int J Cardiovasc Imaging 32:991–998PubMedCrossRef
24.
Zurück zum Zitat Han BK, Lindberg J, Grant K et al (2011) Accuracy and safety of high pitch computed tomography imaging in young children with complex congenital heart disease. Am J Cardiol 107:1541–1546PubMedCrossRef Han BK, Lindberg J, Grant K et al (2011) Accuracy and safety of high pitch computed tomography imaging in young children with complex congenital heart disease. Am J Cardiol 107:1541–1546PubMedCrossRef
25.
Zurück zum Zitat Han BK, Lindberg J, Overman D et al (2012) Safety and accuracy of dual-source coronary computed tomography angiography in the pediatric population. J Cardiovasc Comput Tomogr 6:252–259PubMedCrossRef Han BK, Lindberg J, Overman D et al (2012) Safety and accuracy of dual-source coronary computed tomography angiography in the pediatric population. J Cardiovasc Comput Tomogr 6:252–259PubMedCrossRef
26.
Zurück zum Zitat Malone LJ, Olson A, Barker AJ et al (2020) Visualization of proximal coronary arteries on high-pitch electrocardiogram-triggered computed tomography in pediatric congenital heart disease: effects of heart rate and body surface area. Pediatr Radiol 50:1375–1380PubMedCrossRef Malone LJ, Olson A, Barker AJ et al (2020) Visualization of proximal coronary arteries on high-pitch electrocardiogram-triggered computed tomography in pediatric congenital heart disease: effects of heart rate and body surface area. Pediatr Radiol 50:1375–1380PubMedCrossRef
27.
Zurück zum Zitat Ghekiere O, Nchimi A, Djekic J et al (2016) Coronary computed tomography angiography: patient-related factors determining image quality using a second-generation 320-slice CT scanner. Int J Cardiol 221:970–976PubMedCrossRef Ghekiere O, Nchimi A, Djekic J et al (2016) Coronary computed tomography angiography: patient-related factors determining image quality using a second-generation 320-slice CT scanner. Int J Cardiol 221:970–976PubMedCrossRef
28.
Zurück zum Zitat Bastarrika G, De Cecco CN, Arraiza M et al (2008) Dual-source CT for visualization of the coronary arteries in heart transplant patients with high heart rates. AJR Am J Roentgenol 191:448–454PubMedCrossRef Bastarrika G, De Cecco CN, Arraiza M et al (2008) Dual-source CT for visualization of the coronary arteries in heart transplant patients with high heart rates. AJR Am J Roentgenol 191:448–454PubMedCrossRef
29.
Zurück zum Zitat Smettei OA, Sayed S, Al Habib M, A, et al (2018) Ultra-fast, low dose high-pitch (FLASH) versus prospectively-gated coronary computed tomography angiography: comparison of image quality and patient radiation exposure. J Saudi Heart Assoc 30:165–171PubMedCrossRef Smettei OA, Sayed S, Al Habib M, A, et al (2018) Ultra-fast, low dose high-pitch (FLASH) versus prospectively-gated coronary computed tomography angiography: comparison of image quality and patient radiation exposure. J Saudi Heart Assoc 30:165–171PubMedCrossRef
30.
Zurück zum Zitat Chelliah A, Kubacki T, Julien HM, Einstein AJ (2016) Pediatric coronary CTA using phenylephrine to lower heart rate. J Cardiovasc Comput Tomogr 10:339–340PubMedCrossRef Chelliah A, Kubacki T, Julien HM, Einstein AJ (2016) Pediatric coronary CTA using phenylephrine to lower heart rate. J Cardiovasc Comput Tomogr 10:339–340PubMedCrossRef
31.
Zurück zum Zitat Li T, Zhao S, Liu J et al (2017) Feasibility of high-pitch spiral dual-source CT angiography in children with complex congenital heart disease compared to retrospective-gated spiral acquisition. Clin Radiol 72:864–870PubMedCrossRef Li T, Zhao S, Liu J et al (2017) Feasibility of high-pitch spiral dual-source CT angiography in children with complex congenital heart disease compared to retrospective-gated spiral acquisition. Clin Radiol 72:864–870PubMedCrossRef
32.
Zurück zum Zitat Jacobs ML, Mavroudis C (2010) Anomalies of the coronary arteries: nomenclature and classification. Cardiol Young 20:15–19PubMedCrossRef Jacobs ML, Mavroudis C (2010) Anomalies of the coronary arteries: nomenclature and classification. Cardiol Young 20:15–19PubMedCrossRef
33.
Zurück zum Zitat Cheezum MK, Liberthson RR, Shah NR et al (2017) Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol 69:1592–1608PubMedCrossRef Cheezum MK, Liberthson RR, Shah NR et al (2017) Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol 69:1592–1608PubMedCrossRef
34.
Zurück zum Zitat Agarwal PP, Dennie C, Pena E et al (2017) Anomalous coronary arteries that need intervention: review of pre- and postoperative imaging appearances. Radiographics 37:740–757PubMedCrossRef Agarwal PP, Dennie C, Pena E et al (2017) Anomalous coronary arteries that need intervention: review of pre- and postoperative imaging appearances. Radiographics 37:740–757PubMedCrossRef
35.
Zurück zum Zitat Mery CM, De León LE, Molossi S et al (2018) Outcomes of surgical intervention for anomalous aortic origin of a coronary artery: a large contemporary prospective cohort study. J Thorac Cardiovasc Surg 155:305-319.e4PubMedCrossRef Mery CM, De León LE, Molossi S et al (2018) Outcomes of surgical intervention for anomalous aortic origin of a coronary artery: a large contemporary prospective cohort study. J Thorac Cardiovasc Surg 155:305-319.e4PubMedCrossRef
36.
Zurück zum Zitat Vastel-Amzallag C, Le Bret E, Paul J-F et al (2011) Diagnostic accuracy of dual-source multislice computed tomographic analysis for the preoperative detection of coronary artery anomalies in 100 patients with tetralogy of Fallot. J Thorac Cardiovasc Surg 142:120–126PubMedCrossRef Vastel-Amzallag C, Le Bret E, Paul J-F et al (2011) Diagnostic accuracy of dual-source multislice computed tomographic analysis for the preoperative detection of coronary artery anomalies in 100 patients with tetralogy of Fallot. J Thorac Cardiovasc Surg 142:120–126PubMedCrossRef
37.
Zurück zum Zitat Yu F-F, Lu B, Gao Y et al (2013) Congenital anomalies of coronary arteries in complex congenital heart disease: diagnosis and analysis with dual-source CT. J Cardiovasc Comput Tomogr 7:383–390PubMedCrossRef Yu F-F, Lu B, Gao Y et al (2013) Congenital anomalies of coronary arteries in complex congenital heart disease: diagnosis and analysis with dual-source CT. J Cardiovasc Comput Tomogr 7:383–390PubMedCrossRef
38.
Zurück zum Zitat Pandey NN, Sinha M, Sharma A et al (2019) Anomalies of coronary artery origin: evaluation on multidetector CT angiography. Clin Imaging 57:87–98PubMedCrossRef Pandey NN, Sinha M, Sharma A et al (2019) Anomalies of coronary artery origin: evaluation on multidetector CT angiography. Clin Imaging 57:87–98PubMedCrossRef
39.
Zurück zum Zitat McCrindle BW, Rowley AH, Newburger JW et al (2017) Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation 135:e927–e999PubMedCrossRef McCrindle BW, Rowley AH, Newburger JW et al (2017) Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation 135:e927–e999PubMedCrossRef
40.
Zurück zum Zitat Newburger JW, Takahashi M, Beiser AS et al (1991) A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome. N Engl J Med 324:1633–1639PubMedCrossRef Newburger JW, Takahashi M, Beiser AS et al (1991) A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome. N Engl J Med 324:1633–1639PubMedCrossRef
41.
Zurück zum Zitat Newburger JW, Takahashi M, Burns JC et al (1986) The treatment of Kawasaki syndrome with intravenous gamma globulin. N Engl J Med 315:341–347PubMedCrossRef Newburger JW, Takahashi M, Burns JC et al (1986) The treatment of Kawasaki syndrome with intravenous gamma globulin. N Engl J Med 315:341–347PubMedCrossRef
42.
Zurück zum Zitat Sperotto F, Friedman KG, Son MBF et al (2021) Cardiac manifestations in SARS-CoV-2-associated multisystem inflammatory syndrome in children: a comprehensive review and proposed clinical approach. Eur J Pediatr 180:307–322PubMedCrossRef Sperotto F, Friedman KG, Son MBF et al (2021) Cardiac manifestations in SARS-CoV-2-associated multisystem inflammatory syndrome in children: a comprehensive review and proposed clinical approach. Eur J Pediatr 180:307–322PubMedCrossRef
43.
Zurück zum Zitat Warnes CA, Williams RG, Bashore TM et al (2008) ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52:e143–e263PubMedCrossRef Warnes CA, Williams RG, Bashore TM et al (2008) ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52:e143–e263PubMedCrossRef
44.
Zurück zum Zitat Marano R, Rovere G, Savino G et al (2020) CCTA in the diagnosis of coronary artery disease. Radiol Med 125:1102–1113PubMedCrossRef Marano R, Rovere G, Savino G et al (2020) CCTA in the diagnosis of coronary artery disease. Radiol Med 125:1102–1113PubMedCrossRef
45.
Zurück zum Zitat Rohnean A, Houyel L, Sigal-Cinqualbre A et al (2011) Heart transplant patient outcomes: 5-year mean follow-up by coronary computed tomography angiography. Transplantation 91:583PubMedCrossRef Rohnean A, Houyel L, Sigal-Cinqualbre A et al (2011) Heart transplant patient outcomes: 5-year mean follow-up by coronary computed tomography angiography. Transplantation 91:583PubMedCrossRef
46.
Zurück zum Zitat Carreras EM, Duncan WJ, Djurdjev O, Campbell AIM (2015) Cardiac strangulation following epicardial pacemaker implantation: a rare pediatric complication. J Thorac Cardiovasc Surg 149:522–527PubMedCrossRef Carreras EM, Duncan WJ, Djurdjev O, Campbell AIM (2015) Cardiac strangulation following epicardial pacemaker implantation: a rare pediatric complication. J Thorac Cardiovasc Surg 149:522–527PubMedCrossRef
47.
Zurück zum Zitat Mah DY, Prakash A, Porras D et al (2018) Coronary artery compression from epicardial leads: more common than we think. Heart Rhythm 15:1439–1447PubMedCrossRef Mah DY, Prakash A, Porras D et al (2018) Coronary artery compression from epicardial leads: more common than we think. Heart Rhythm 15:1439–1447PubMedCrossRef
Metadaten
Titel
Coronary computed tomography angiography in children
verfasst von
LaDonna J. Malone
Cara E. Morin
Lorna P. Browne
Publikationsdatum
04.11.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 13/2022
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-021-05209-2

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