Coronary Stenosis, Valvular Disease
Conditions
Keywords
Valvular surgery, Diagnostic accuracy of coronary angiography, Coronary stenosis, Coronary revascularisation
Brief summary
Conventional coronary angiography is the recommended procedure in detection of coronary stenosis in patients with heart valve disease referred for surgery.The aim of this prospective study is to assess diagnostic accuracy of multislice spiral computed tomography coronary angiography in patients with heart valve disease referred for surgery.
Detailed description
The diagnostic accuracy of multislice spiral computed tomography coronary angiography in terms of sensitivity, specificity, negative and positive predictive value, the conventional coronary angiography being the gold standard.50 patients scheduled for valve surgery will be screened to conduct an additional multislice spiral computed tomography.
Interventions
multislice spiral computed tomography coronary angiography
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled for valve surgery who need a conventional coronary angiography * Informed Content * Patients affiliated to the social security system
Exclusion criteria
* Instable condition * Arrhythmia including atrial fibrillation * Impaired renal function * Known contrast allergy * Patients unable to hold an apnea during 20 seconds * Pregnancy * Emergency * People unable to sign the informed content such as major under supervision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The diagnostic accuracy of coronary scanner (sensitivity, specificity, positive and negative predictive values) in the detection of the coronary stenosis higher than 50%. | a month at the latest after the signature of consent |
Secondary
| Measure | Time frame |
|---|---|
| The diagnostic accuracy of coronary scanner to detect the patients requiring or not a coronary revascularisation in more of the valvular surgery. | a month at the latest after the signature of consent |
Countries
France