„Triple-rule-out“-Computertomographie in der Notaufnahme
- 9 October 2011
- journal article
- review article
- Published by Springer Science and Business Media LLC in Medizinische Klinik - Intensivmedizin und Notfallmedizin
- Vol. 106 (2), 89-95
- https://doi.org/10.1007/s00063-011-0009-6
Abstract
In the emergency department patients with chest pain play an important role because the underlying and concealed diseases can be life-threatening. The complaints are often nonspecific and patients also have different risk profiles. In patients in the emergency department with nonspecific chest pain a"1-stop strategy" for elucidation of the three main organs lung, hear and aorta with the 4 main differential diagnoses (aortic dissection, ruptured aortic aneurysm, pulmonary embolism and coronary heart disease) is desirable. Technical advances in computed tomography (CT) in recent years make this approach technically possible. In modern emergency departments CT equipment is becoming more and more common in order to rapidly examine trauma patients. A meaningful patient selection and preparation are, however, necessary to avoid unnecessary exposure of patients to contrast media and radiation. In this way it is possible to reduce the rate of overlooked diseases or false diagnoses.Keywords
This publication has 32 references indexed in Scilit:
- Estimation of radiation exposure of retrospective gated and prospective triggered 128-slice triple-rule-out CT angiographyActa Radiologica, 2011
- Comparative diagnostic yield and 3-month outcomes of “triple rule-out” and standard protocol coronary CT angiography in the evaluation of acute chest painJournal of Cardiovascular Computed Tomography, 2011
- Triphasic Contrast Bolus for Whole-Chest ECG-Gated 64-MDCT of Patients With Nonspecific Chest Pain: Evaluation of Arterial Enhancement and Streak ArtifactAmerican Journal of Roentgenology, 2010
- Success of a Safe and Simple Algorithm to Reduce Use of CT Pulmonary Angiography in the Emergency DepartmentAmerican Journal of Roentgenology, 2010
- Diagnostic Performance of 64-Multidetector Row Coronary Computed Tomographic Angiography for Evaluation of Coronary Artery Stenosis in Individuals Without Known Coronary Artery Disease: Results From the Prospective Multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) TrialJournal of the American College of Cardiology, 2008
- Coronary CT angiography in emergency department patients with acute chest pain: triple rule-out protocol versus dedicated coronary CT angiographyThe International Journal of Cardiovascular Imaging, 2008
- Dual-source CT for chest pain assessmentEuropean Radiology, 2007
- 64-Slice Computed Tomography Coronary Angiography in Patients With High, Intermediate, or Low Pretest Probability of Significant Coronary Artery DiseaseJournal of the American College of Cardiology, 2007
- The Risk of Missed Diagnosis of Acute Myocardial Infarction Associated With Emergency Department VolumeAnnals of Emergency Medicine, 2006
- Evaluation of the Patient with Acute Chest PainNew England Journal of Medicine, 2000