Arterial bending angle and wall morphology correlate with slow coronary flow: Determination with multidetector CT coronary angiography

Mecit Kantarci, Fuat Gündogdu, Selim Doganay, Cihan Duran, M. Emin Kalkan, M. Erdem Sagsoz, Osman Kucuk, Afak Karakaya, Ahmet Kucuk, Metin Akgün

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background and purpose: The purpose of this study was to assess angulations and vessel wall morphology that could lead to bending head loss in the RCA and LMCA arteries of patients with slow coronary flow (SCF) evaluated by MDCT coronary angiography. Methods: The study involved 51 patients (45 males, mean age: 59.6 years) who were diagnosed with SCF by coronary angiography. Diagnosis of SCF was based on thrombolysis in myocardial infarction (TIMI) frame count. Fifty-one patients with absence of slow flow were selected as the control group. The angulations of the main coronary arteries with the aorta were measured from the axial images obtained through MDCT coronary angiography, and the findings were recorded. In addition, the coronary artery walls of these patients were evaluated. For statistical analysis, SPSS for Windows 10.0 (SPSS Inc., Chicago, IL) was used. For comparisons of the angles, either independent samples t test or the Mann-Whitney U test was used where appropriate. Results: The results of the study indicated that 38 patients had SCF in the LAD. Comparisons of patients with SCF with the controls revealed that in the patients with SCF, the mean angle of the LMCA with the aorta (40.9 ± 20.5°) was statistically significantly smaller than the mean angle of the LMCA with the aorta in the control cases (71.8 ± 11°). In 12 patients, slow flow was detected in the RCA. Those with slow flow in the RCA had significantly smaller angles (mean: 33.2 ± 20.4°) than the other cases (mean: 78.9 ± 10.7°). Conclusion: A small angle of origin of the main coronary arteries from the aorta, measured on MDCT examinations is correlated with slow blood flow in those vessels, as calculated by the TIMI frame count in catheter coronary angiography.

Original languageEnglish (US)
Pages (from-to)111-117
Number of pages7
JournalEuropean Journal of Radiology
Volume77
Issue number1
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

    Fingerprint

Keywords

  • Arterial bending angle
  • MDCT
  • Slow coronary flow

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Kantarci, M., Gündogdu, F., Doganay, S., Duran, C., Kalkan, M. E., Sagsoz, M. E., Kucuk, O., Karakaya, A., Kucuk, A., & Akgün, M. (2011). Arterial bending angle and wall morphology correlate with slow coronary flow: Determination with multidetector CT coronary angiography. European Journal of Radiology, 77(1), 111-117. https://doi.org/10.1016/j.ejrad.2009.07.002