The Complementary Relationship Between Echocardiography and Multi-Slice Spiral CT Coronary Angiography in the Diagnosis of Coronary Artery Thrombosis in Children With Kawasaki Disease

Frontiers in Pediatrics

article

Yun-ming Xu¹  Xue-xin Yu¹  Le Sun¹  Xiao-zhe Cui¹  Hong Wang¹  Yan-qiu Chu¹  Xue-mei Li¹  Ce Wang¹  Quan-mei Ma²  Xiao-na Yu³  Xian-yi Yu¹  Rui Chen¹  Yan-lin Xing¹ 

[1] Department of Pediatrics, Shengjing Hospital of China Medical University;Department of Radiology, Shengjing Hospital of China Medical University;Department of Ultrasound, Shengjing Hospital of China Medical University

关键词: children;    Kawasaki disease;    coronary artery lesion;    thrombosis;    echocardiography;    CTCA;   

DOI  :  10.3389/fped.2021.670887

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Aim: To compare the diagnostic values by using transthoracic echocardiography (ECHO) and multi-slice spiral CT coronary angiography (CTCA) for identifying coronary artery thrombosis in children with Kawasaki disease (KD). Methods: Total 97 KD children with coronary artery dilation complications in our hospital from June 2012 to December 2020 were included in the study. CTCA and ECHO were performed after over 1 month of illness. Results: Coronary artery thrombosis was found in 14 out of 97 patients. Among them, 10 were identified as positive by CTCA, 9 were identified as positive by ECHO, and 5 were identified as positive by both CTCA and ECHO. Conclusion: Both CTCA and ECHO can be used to diagnose coronary artery thrombosis. ECHO has advantage in identifying low-density thrombus, and CTCA is better for the clot in distal coronary artery. They can complement each other.

【 授权许可】

CC BY