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January 7, 2018Global Cardiology Science and PracticeOpen Access

Computed tomography coronary angiography is the way forward for evaluation of children with Kawasaki disease

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Why the study?

Does computed tomography coronary angiography (CTCA) improve the evaluation of coronary artery abnormalities in children with Kawasaki disease compared to echocardiography and catheter angiography?

Population

Children with Kawasaki disease

Comparison

Computed tomography coronary angiography (CTCA) vs Two-dimensional transthoracic echocardiography…

Design

Review

Authors

MSManphool SinghalPGPankaj GuptaSSSurjit Singh

Discussion

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Overview

May support low-dose CTCA when echocardiography is limited in pediatric Kawasaki disease; leaves open prospective validation versus angiography.

Structured PICO

Does computed tomography coronary angiography (CTCA) improve the evaluation of coronary artery abnormalities in children with Kawasaki disease compared to echocardiography and catheter angiography?

P
Population
Children with Kawasaki disease
I
Intervention
Computed tomography coronary angiography (CTCA)
C
Comparator
Two-dimensional transthoracic echocardiography, catheter angiography, and magnetic resonance coronary angiography (MRCA)
O
Outcome
Detection and evaluation of coronary artery abnormalities (CAA)surrogate

CTCA, particularly with prospective ECG triggering to minimize radiation, is a highly accurate and non-invasive modality for evaluating coronary artery abnormalities in children with Kawasaki disease, overcoming limitations of echocardiography.

Cite This Study

Singhal et al. (2018) studied this question.

synapsesocial.com/papers/6a7cecfbe03c79af10f6be54https://doi.org/10.21542/gcsp.2017.28
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-term Consequences of Kawasaki Disease1996 · 1,338 citations
  2. 2Radiation dose and cancer risk in retrospectively and prospectively ECG-gated coronary angiography using 64-slice multidetector CT2010 · 67 citations
  3. 3Application of prospective ECG-triggered dual-source CT coronary angiography for infants and children with coronary artery aneurysms due to Kawasaki disease2012 · 45 citations