Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : TC10 - TC13

Normal Proximal Coronary Artery Diameters in Adults from India as Assessed by Computed Tomography Angiography

Manjappa Mahadevappa, Madhav Hegde, Ravi Math

1. Assistant Professor, Department of Cardiology, JSS Medical College, Mysore, Karnataka, India. 2. Associate Professor, Department of Radiology, Dr. B.R. Ambedkar Medical College, Bengaluru, Karnataka, India. 3. Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research Institute, Bengaluru, Karnataka, India.

Correspondence Address :
Dr. Madhav Hegde,
D 1003, Iris Block, The Gardens Apartment, KP Agrahara, No 9 Magadi Road, Bengaluru-560023, India.
E-mail: docmadhavhegde@gmail.com

Abstract

Introduction: The normative data of coronary artery size among Indians are sparse. It is often essential to know the coronary dimensions especially during interventions such as stenting to choose the appropriate size of the stent and to decide the very need for stenting. In current practice it is the luminal angiography which is most widely employed to assess the coronary artery size. However, luminal angiography is not very accurate in estimating the epicardial coronary artery size as it does not take into account the mural thickness of the arterial wall. Hence it is prudent to assess coronary artery size by other methods such as Computed Tomography (CT) coronary angiography, quantitative coronary angiogram, Magnetic Resonanace (MR) angiogram, etc. In this study we chose computed tomography as it demonstrates mural thickness along with lumen of the vessels and hence measures the diameter more accurately.

Aim: To establish normative data for diameters of the proximal coronary artery segments during life by using MDCT in a cohort of individuals without any structural heart disease.

Materials and Methods: Between October 2012 and April 2013, 168 consecutive patients who did not have any structural heart disease underwent CT coronary angiography for evaluation of Coronary Artery Disease (CAD) with atypical symptoms with low pretest probability. Patients who were found to have no coronary artery disease on CT-CAG were recruited in this study. The baseline clinical status and demographic data were obtained from the hospital records.

Results: In our study we found that the mean indexed diameter to BSA among females for LMCA 2.320.12mm, LAD 1.950.15mm, LCX 1.730.20mm and RCA 1.840.22mm. For males the values were LMCA 2.330.13mm, LAD 1.940.16mm, LCX 1.740.21mm, and RCA 1.790.20mm. These values are comparable to other studies.

Conclusion: We attempted to establish normative data for normal proximal coronary artery dimensions among South Indian population. Coronary artery dimensions in Indians (in-dexed to BSA) for proximal major epicardial coronary arteries are similar to that reported in the West.

Keywords

Cardiac CT, Coronary CT, CTA, CT angiogram, MDCT, Normal diameters

How to cite this article :

Manjappa Mahadevappa, Madhav Hegde, Ravi Math. NORMAL PROXIMAL CORONARY ARTERY DIAMETERS IN ADULTS FROM INDIA AS ASSESSED BY COMPUTED TOMOGRAPHY ANGIOGRAPHY. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jul 15 ]; 10:TC10-TC13. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=TC10-TC13&id=7849

DOI and Others

DOI: 10.7860/JCDR/2016/18096.7849


Date of Submission: Dec 02, 2015
Date of Peer Review: Jan 09, 2016
Date of Acceptance: Mar 14, 2016
Date of Publishing: May 01, 2016

Financial OR OTHER COMPETING INTERESTS: None.

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