Visualization of proximal coronary arteries on high-pitch electrocardiogram-triggered computed tomography in pediatric c

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ORIGINAL ARTICLE

Visualization of proximal coronary arteries on high-pitch electrocardiogram-triggered computed tomography in pediatric congenital heart disease: effects of heart rate and body surface area LaDonna J. Malone 1,2 Lorna P. Browne 1,2

&

Andrew Olson 1 & Alex J. Barker 1,3 & David Andrew Mong 1,2 & Jason P. Weinman 1,2 &

Received: 11 December 2019 / Revised: 20 April 2020 / Accepted: 20 May 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Background As CT technology has advanced, techniques for pediatric cardiac CT in congenital heart disease have evolved from retrospective electrocardiography (ECG)-gating with relatively high radiation doses to lower-dose prospective ECG-gating and even single-beat gated scans. Despite these advances, coronary artery imaging in children remains challenging because of their small vessel size and high heart rates, often necessitating retrospective gating. Objective Evaluate coronary artery visualization in pediatric patients (