AUTHOR=Xu Yun-ming , Chu Yan-qiu , Li Xue-mei , Wang Ce , Ma Quan-mei , Yu Xiao-na , Yu Xian-yi , Chen Rui , Xing Yan-lin , Yu Xue-xin , Sun Le , Cui Xiao-zhe , Wang Hong 

TITLE=The Complementary Relationship Between Echocardiography and Multi-Slice Spiral CT Coronary Angiography in the Diagnosis of Coronary Artery Thrombosis in Children With Kawasaki Disease

JOURNAL=Frontiers in Pediatrics

VOLUME=9

YEAR=2021

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2021.670887

DOI=10.3389/fped.2021.670887

ISSN=2296-2360

ABSTRACT=<p><bold>Aim:</bold> To compare the diagnostic values by using transthoracic echocardiography (ECHO) and multi-slice spiral CT coronary angiography (CTCA) for identifying coronary artery thrombosis in children with Kawasaki disease (KD).</p><p><bold>Methods:</bold> Total 97 KD children with coronary artery dilation complications in our hospital from June 2012 to December 2020 were included in the study. CTCA and ECHO were performed after over 1 month of illness.</p><p><bold>Results:</bold> Coronary artery thrombosis was found in 14 out of 97 patients. Among them, 10 were identified as positive by CTCA, 9 were identified as positive by ECHO, and 5 were identified as positive by both CTCA and ECHO.</p><p><bold>Conclusion:</bold> Both CTCA and ECHO can be used to diagnose coronary artery thrombosis. ECHO has advantage in identifying low-density thrombus, and CTCA is better for the clot in distal coronary artery. They can complement each other.</p>