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La radiologia medica
Published in: La radiologia medica 10/2015

01-10-2015 | CARDIAC RADIOLOGY

Italian Registry of Cardiac Computed Tomography

Authors: Filippo Cademartiri, Ernesto Di Cesare, Marco Francone, Giovanni Ballerini, Guido Ligabue, Erica Maffei, Andrea Romagnoli, Giovanni Maria Argiolas, Vincenzo Russo, Vitaliano Buffa, Riccardo Marano, Maria Guzzetta, Manuel Belgrano, Iacopo Carbone, Luca Macarini, Claudia Borghi, Paolo Di Renzi, Vicenzo Barile, Lucia Patriarca, CCT Italian Registry Group

Published in: La radiologia medica | Issue 10/2015

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Abstract

Purpose

Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry.

Materials and methods

During a period of 6 months, 47 centers in Italy enrolled 3,455 patients.

Results

CCT was performed mainly with 64-slice CT scanners (73.02 %). Contrast agents were administrated in 3,185 patients (92.5 %). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8 %), followed by calcium scoring (9.6 %), post-angioplasty/stenting (8.3 %), post-CABGs (7.5 %), study of cardiac anatomy (4.22 %) and assessment in patients with known CAD (4.1 %) and acute chest pain (1.99 %). Most of the CCTs were performed in outpatient settings (2,549; 74 %) and a minority in inpatient settings (719, 20.8 %). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75 %). None of them was severe. In 45.3 % of the cases CCT findings impacted patient management.

Conclusion

CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.
Appendix
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Metadata
Title
Italian Registry of Cardiac Computed Tomography
Authors
Filippo Cademartiri
Ernesto Di Cesare
Marco Francone
Giovanni Ballerini
Guido Ligabue
Erica Maffei
Andrea Romagnoli
Giovanni Maria Argiolas
Vincenzo Russo
Vitaliano Buffa
Riccardo Marano
Maria Guzzetta
Manuel Belgrano
Iacopo Carbone
Luca Macarini
Claudia Borghi
Paolo Di Renzi
Vicenzo Barile
Lucia Patriarca
CCT Italian Registry Group
Publication date
01-10-2015
Publisher
Springer Milan
Published in
La radiologia medica / Issue 10/2015
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-015-0518-0

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