Purpose Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry. Materials and methods During a period of 6 months, 47 centers in Italy enrolled 3,455 patients. Results CCT was performed mainly with 64-slice CT scanners (73.02%). Contrast agents were administrated in 3,185 patients (92.5%). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8%), followed by calcium scoring (9.6%), post-angioplasty/stenting (8.3%), post-CABGs (7.5%), study of cardiac anatomy (4.22%) and assessment in patients with known CAD (4.1%) and acute chest pain (1.99%). Most of the CCTs were performed in outpatient settings (2,549; 74%) and a minority in inpatient settings (719, 20.8%). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75%). None of them was severe. In 45.3% of the cases CCT findings impacted patient management. Conclusion CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.

Italian registry of cardiac computed tomography / Cademartiri, Filippo; Di Cesare, Ernesto; Francone, Marco; Ballerini, Giovanni; Ligabue, Guido; Maffei, Erica; Romagnoli, Andrea; Argiolas, Giovanni Maria; Russo, Vincenzo; Buffa, Vitaliano; Marano, Riccardo; Guzzetta, Maria; Belgrano, Manuel; Carbone, Iacopo; Macarini, Luca; Borghi, Claudia; Di Renzi, Paolo; Barile, Vicenzo; Patriarca, Lucia; Donato, Rocco; Zerboni, Filippo; Tresoldi, Silvia; Tessa, Carlo; Rengo, Marco; Manglaviti, Giuseppina; Danti, Massimiliano; Crusco, Federico; Carotti, Lucia; Zobel, Bruno Beomonte; Bernardini, Antonio; Scardapane, Arnaldo; Banderali, Simone; Acquafresca, Manlio; Carusi, Luca Maria; Negro, Umberto; Priotto, Roberto; De Cobelli, Francesco; Quarenghi, Matteo; Paganoni, Silvia; Secchi, Francesco; Sforza, Nicola; Lumia, Domenico; De Rosa, Roberto; Bissoli, Ernesto; Olivotti, Luca; Barbiero, Giulio; Centonze, Maurizio; Leurini, Rodolfo; Malagò, Roberto; Pinto, Dario. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 120:10(2015), pp. 919-929. [10.1007/s11547-015-0518-0]

Italian registry of cardiac computed tomography

LIGABUE, Guido;
2015

Abstract

Purpose Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry. Materials and methods During a period of 6 months, 47 centers in Italy enrolled 3,455 patients. Results CCT was performed mainly with 64-slice CT scanners (73.02%). Contrast agents were administrated in 3,185 patients (92.5%). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8%), followed by calcium scoring (9.6%), post-angioplasty/stenting (8.3%), post-CABGs (7.5%), study of cardiac anatomy (4.22%) and assessment in patients with known CAD (4.1%) and acute chest pain (1.99%). Most of the CCTs were performed in outpatient settings (2,549; 74%) and a minority in inpatient settings (719, 20.8%). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75%). None of them was severe. In 45.3% of the cases CCT findings impacted patient management. Conclusion CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.
2015
21-feb-2015
120
10
919
929
Italian registry of cardiac computed tomography / Cademartiri, Filippo; Di Cesare, Ernesto; Francone, Marco; Ballerini, Giovanni; Ligabue, Guido; Maffei, Erica; Romagnoli, Andrea; Argiolas, Giovanni Maria; Russo, Vincenzo; Buffa, Vitaliano; Marano, Riccardo; Guzzetta, Maria; Belgrano, Manuel; Carbone, Iacopo; Macarini, Luca; Borghi, Claudia; Di Renzi, Paolo; Barile, Vicenzo; Patriarca, Lucia; Donato, Rocco; Zerboni, Filippo; Tresoldi, Silvia; Tessa, Carlo; Rengo, Marco; Manglaviti, Giuseppina; Danti, Massimiliano; Crusco, Federico; Carotti, Lucia; Zobel, Bruno Beomonte; Bernardini, Antonio; Scardapane, Arnaldo; Banderali, Simone; Acquafresca, Manlio; Carusi, Luca Maria; Negro, Umberto; Priotto, Roberto; De Cobelli, Francesco; Quarenghi, Matteo; Paganoni, Silvia; Secchi, Francesco; Sforza, Nicola; Lumia, Domenico; De Rosa, Roberto; Bissoli, Ernesto; Olivotti, Luca; Barbiero, Giulio; Centonze, Maurizio; Leurini, Rodolfo; Malagò, Roberto; Pinto, Dario. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 120:10(2015), pp. 919-929. [10.1007/s11547-015-0518-0]
Cademartiri, Filippo; Di Cesare, Ernesto; Francone, Marco; Ballerini, Giovanni; Ligabue, Guido; Maffei, Erica; Romagnoli, Andrea; Argiolas, Giovanni Maria; Russo, Vincenzo; Buffa, Vitaliano; Marano, Riccardo; Guzzetta, Maria; Belgrano, Manuel; Carbone, Iacopo; Macarini, Luca; Borghi, Claudia; Di Renzi, Paolo; Barile, Vicenzo; Patriarca, Lucia; Donato, Rocco; Zerboni, Filippo; Tresoldi, Silvia; Tessa, Carlo; Rengo, Marco; Manglaviti, Giuseppina; Danti, Massimiliano; Crusco, Federico; Carotti, Lucia; Zobel, Bruno Beomonte; Bernardini, Antonio; Scardapane, Arnaldo; Banderali, Simone; Acquafresca, Manlio; Carusi, Luca Maria; Negro, Umberto; Priotto, Roberto; De Cobelli, Francesco; Quarenghi, Matteo; Paganoni, Silvia; Secchi, Francesco; Sforza, Nicola; Lumia, Domenico; De Rosa, Roberto; Bissoli, Ernesto; Olivotti, Luca; Barbiero, Giulio; Centonze, Maurizio; Leurini, Rodolfo; Malagò, Roberto; Pinto, Dario
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