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What Is The Next Procedure Based On The CT Coronary Angiography Report?
HI, i have undergone PTCA in Jan 2011, recently i had done C T Coronary angiography done and the report is as below:
64 SLICE C. T. CORONARY ANGIOGRAPHY
OBSERVATION :- Coronary CT Angiography was performed on 64 slice CT
rendered images. Poor imaging due to poor breath hold,
hence multiple step artifacts are noted.
CALCIUM SCORE :- LM - 0, LAD - 0, LCx - 0, RCA - 0. Total = 0.
LEFT CORONARY ARTERY
LM :- Normal
LAD :- Stent noted in proximal LAD. Stented segment show
calcific plaque causing moderate narrowing. Soft plque
noted in prestented LAD causing moderate narrowing.
Post stented segment also shows soft plaque causing
significant narrowing. Distal filling is not satisfactory.
D1 :- Normal
SEPTALS :- Normal
CIRCUMFLEX ARTERY :- Soft plaque noted in LCx causing moderate narrowing.
Rest of the LCx appear normal.
OBTUSE MARGINAL BRANCHES
OM1 :- Poor opacification.
OM2 :- Normal
RIGHT CORONARY ARTERY :- Normal
PDA :- Normal and arises from RCA.
scanner. Plain and post contrast images were obtained. The
study was reviewed in multiplanar reformatted and volume
COMMENT :- Total Calcium score = 0
Moderate and significant disease in LAD.
Soft plaque noted in LCx.
Right dominant circulation.
Suggest : Catheter Angiography.
Can you please suggest what would be the next procedure.
64 SLICE C. T. CORONARY ANGIOGRAPHY
OBSERVATION :- Coronary CT Angiography was performed on 64 slice CT
rendered images. Poor imaging due to poor breath hold,
hence multiple step artifacts are noted.
CALCIUM SCORE :- LM - 0, LAD - 0, LCx - 0, RCA - 0. Total = 0.
LEFT CORONARY ARTERY
LM :- Normal
LAD :- Stent noted in proximal LAD. Stented segment show
calcific plaque causing moderate narrowing. Soft plque
noted in prestented LAD causing moderate narrowing.
Post stented segment also shows soft plaque causing
significant narrowing. Distal filling is not satisfactory.
D1 :- Normal
SEPTALS :- Normal
CIRCUMFLEX ARTERY :- Soft plaque noted in LCx causing moderate narrowing.
Rest of the LCx appear normal.
OBTUSE MARGINAL BRANCHES
OM1 :- Poor opacification.
OM2 :- Normal
RIGHT CORONARY ARTERY :- Normal
PDA :- Normal and arises from RCA.
scanner. Plain and post contrast images were obtained. The
study was reviewed in multiplanar reformatted and volume
COMMENT :- Total Calcium score = 0
Moderate and significant disease in LAD.
Soft plaque noted in LCx.
Right dominant circulation.
Suggest : Catheter Angiography.
Can you please suggest what would be the next procedure.
posted on
Sat, 15 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 22 May 2015
Answered on
Fri, 22 May 2015
Last reviewed on
This report suggests that you have instent restenosis.the very fact that u underwent CT angio suggests that you have symptoms of angina.I strongly recommend that you should undergo cath angio and confirm degree of block in your LAD stent.depending on reports you may need further intervention or modification of medicines.my best wishes.
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