1) Review preprocedural patient preparation including appropriate patient selection, beta blockade, contraindications and alternatives beta blockers. 2) Discuss how to manage nonstandard patients (atrial fibrillation, pacemaker, young adults). 3) Periprocedural issues including vasodilation, continued heart rate control, and breathholding requirements. 4) Image acquisition including radiation dose reduction techniques, technique choice, and post CABG patient. 5) Postprocedural complications include contrast reactions and their management.
Cardiac CTA involve slightly more preparation than the standard CT acquisition. Heart rate control is the most important aspect that needs to be addressed prior to the patient arriving in the radiology department. Periprocedural issues mostly involved how to optimize technique while having the lowest radiation dose especially in the new age of dose reduction. Almost as important as heart rate management is how to treat postprocedural complications especially contrast reactions. This presentation will discuss these aspects and include treatment options as well as their alternatives.
Garon, B,
Cardiac CT- Pre, Peri and Post Procedural Management. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/9001495.html
