The Role of 18 F-FDG PET/CT Combined With MPI in Cogan's Syndrome With Multiple Arteritis and Coronary Involvement: A Case Report.

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-25 DOI:10.1097/RLU.0000000000005788

Ying Zhang, Xu Han, Nan Nan, Wei Dong, Hongzhi Mi

引用次数: 0

Abstract

We present a case of a 49-year-old woman who complained of chest pain after activity for 3 months. She had undergone percutaneous coronary intervention (PCI) on the left main (LM) and right coronary artery (RCA) for acute myocardial infarction (AMI) 1 year ago. At this admission, a coronary angiogram (CAG) revealed stent restenosis. Then, 99m Tc-Sestamibi myocardial perfusion imaging (MPI) and 18 F-FDG PET/CT showed multiple arteritis involving the coronary artery with no obvious myocardial ischemia. This suggests that the patient should be treated with anti-inflammatory measures instead of repeating revascularization caused by persistent stent stenosis, making this an extremely rare case of Cogan's syndrome (CS).

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18F-FDG PET/CT联合MPI在Cogan综合征合并多发性动脉炎和冠状动脉累及中的作用：1例报告。

我们提出一个病例的49岁的妇女谁抱怨胸痛活动后3个月。1年前因急性心肌梗死（AMI）接受左主干（LM）和右冠状动脉（RCA）经皮冠状动脉介入治疗（PCI）。入院时，冠状动脉造影（CAG）显示支架再狭窄。99mTc-Sestamibi心肌灌注显像（MPI）和18F-FDG PET/CT显示冠状动脉多发性动脉炎，未见明显心肌缺血。这表明患者应采取抗炎措施，而不是由持续性支架狭窄引起的反复血运重建术，使其成为极其罕见的Cogan综合征（CS）病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.