Why the study?
Does multidetector computed tomography accurately detect LAA thrombus in high-risk patients?
Does multidetector computed tomography accurately detect LAA thrombus in high-risk patients?
While limited overall, cardiac MDCT may be useful for ruling out LAA thrombus in very high-risk patients due to its high negative predictive value.
Caution against routine MDCT for LAA thrombus detection; leaves open high-NPV rule-out utility in very high-risk patients pending prospective validation.
Multidetector computed tomography remains limited for the detection of LAA thrombus. However, a subgroup of patients at very high risk for LAA thrombus may benefit from the high negative predictive value of cardiac MDCT.
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Shapiro et al. (2007) studied this question.
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