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Article: The Role of Coronary CT Angiography in the Evaluation of Dual Left Anterior Descending Artery Prevalence and Subtypes: A Retrospective Multicenter Study.

Maggialetti, Nicola / Greco, Sara / Lorusso, Giovanni / Mileti, Cristiana / Sfregola, Gabriella / Brunese, Maria Chiara / Zappia, Marcello / Belfiore, Maria Paola / Sullo, Pasquale / Reginelli, Alfonso / Lucarelli, Nicola Maria / Scardapane, Arnaldo

Journal of personalized medicine

2023  Volume 13, Issue 7

Abstract: Background: The aim of this multicenter study was to evaluate the prevalence and features of dual left anterior descending artery (LAD) subtypes using coronary CT angiography (CCTA).: Methods: A retrospective multicenter analysis of 2083 CCTA from ... ...

Abstract Background: The aim of this multicenter study was to evaluate the prevalence and features of dual left anterior descending artery (LAD) subtypes using coronary CT angiography (CCTA).
Methods: A retrospective multicenter analysis of 2083 CCTA from December 2020 to November 2022 was conducted to search for the presence and morphological features of dual LAD. The two classifications used were the updated classification of Spindola-Franco and the Jariwala classification. Statistical tests were conducted to evaluate the prevalence of dual LADs among sexes and its association with angina in patients without significant coronary stenoses and/or associated cardiac anomalies.
Results: Dual LAD was observed in 124 (5.96%) patients analyzed. According to the Spindola-Franco revisited classification, type I dual LAD was the most common (71/124, 57.26%). According to the Jariwala classification, all cases were group I. In the general population, there was a higher prevalence of dual LAD among females (7.3% females vs. 5.1% males;
Conclusions: The acknowledgment and reporting of LAD duplication is helpful for an optimal management of coronary patients with this condition. Dual LAD was more frequent in the female population, mainly not related with angina. Myocardial bridge was more frequent in the dual LAD population than in the no dual LAD population.
Language English
Publishing date 2023-07-12
Publishing country Switzerland
Document type Journal Article
ZDB-ID 2662248-8
ISSN 2075-4426
ISSN 2075-4426
DOI 10.3390/jpm13071127
Database MEDical Literature Analysis and Retrieval System OnLINE

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