Radiology Case Reports (Dec 2021)

Carotid computed tomography angiography after cobalt-based alloy carotid artery stenting using ultra-high-resolution computed tomography with model-based iterative reconstruction

  • Shingo Kayano, RT, PhD,
  • Hideki Ota, MD, PhD,
  • Yoshimichi Sato, MD,
  • Toshiki Endo, MD, PhD,
  • Kuniyasu Niizuma, MD, PhD,
  • Ichiro Suzuki, MD, PhD,
  • Tsuyoshi Kawamura, MD, PhD,
  • Kei Takase, MD, PhD

Journal volume & issue
Vol. 16, no. 12
pp. 3721 – 3728

Abstract

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In conventional carotid computed tomographic angiography, the artifacts of the stent vary depending on the structure and characteristics of the alloy type. Cobalt-based alloy stents have been reported to exhibit high artifacts, and accurate evaluation of the internal lumen can be difficult. Recently, ultra-high-resolution computed tomography scanner systems have become available for clinical practice. The primary features of this computed tomography scanner are a 0.25-mm detector row width and a 1024 × 1024 matrix. We report a case-series of carotid artery stenting using a cobalt-based alloy stent scanned by an ultra-high-resolution computed tomography scanner system and model-based iterative reconstruction. We also report that the combination of the ultra-high-resolution computed tomography scanner system with model-based iterative reconstruction would be useful to evaluate vessel patency after placement of a cobalt-based alloy stent.

Keywords