{"id":336364,"date":"2019-05-01T02:00:00","date_gmt":"2019-05-01T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/evaluation-des-arteres-coronaires-chez-les-enfants\/"},"modified":"2019-05-01T02:00:00","modified_gmt":"2019-05-01T00:00:00","slug":"evaluation-des-arteres-coronaires-chez-les-enfants","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/evaluation-des-arteres-coronaires-chez-les-enfants\/","title":{"rendered":"\u00c9valuation des art\u00e8res coronaires chez les enfants"},"content":{"rendered":"<p><strong>L&#8217;imagerie radiologique des enfants et des adolescents doit tenir compte de leurs pr\u00e9occupations individuelles, physiques et psychologiques, li\u00e9es \u00e0 leur \u00e2ge. Pas toujours facile.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>L&#8217;\u00e9valuation des art\u00e8res coronaires est indispensable dans certaines conditions<strong> (aper\u00e7u&nbsp;1)<\/strong> et n\u00e9cessite une \u00e9quipe interdisciplinaire. Cependant, la plupart des proc\u00e9dures d&#8217;imagerie n\u00e9cessitent que les patients restent immobiles. Par cons\u00e9quent, une s\u00e9dation est n\u00e9cessaire chez les enfants pour les proc\u00e9dures invasives. L&#8217;angiographie invasive, par exemple, peut repr\u00e9senter un d\u00e9fi dans les petites art\u00e8res coronaires.<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-11719\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/05\/ubersicht1_cv2_s32.png\" style=\"height:175px; width:600px\" width=\"1100\" height=\"320\"><\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"ameliorer-les-details-stratification-des-risques\">Am\u00e9liorer les d\u00e9tails Stratification des risques<\/h2>\n<p>L&#8217;imagerie non invasive avec l&#8217;\u00e9chocardiographie, la tomodensitom\u00e9trie-angiographie (CTA) et l&#8217;imagerie par r\u00e9sonance magn\u00e9tique (IRM) sont donc les principaux outils d&#8217;\u00e9valuation des art\u00e8res coronaires chez les enfants. Si la CTA est compl\u00e9t\u00e9e par l&#8217;angioscopie virtuelle, par exemple, il est possible de d\u00e9terminer non seulement l&#8217;anatomie coronaire et son trajet, mais aussi la relation spatiale entre les os coronaires et la valve aortique. De tels d\u00e9tails peuvent \u00eatre importants pour la stratification des risques et la planification de l&#8217;intervention chirurgicale.<\/p>\n<h2 id=\"imagerie-fonctionnelle\">Imagerie fonctionnelle<\/h2>\n<p>En outre, les instruments d&#8217;\u00e9valuation de la fonction myocardique et de la circulation sanguine au repos et en situation de stress peuvent aider davantage le processus de d\u00e9cision clinique. Une imagerie par r\u00e9sonance magn\u00e9tique de stress (IRM de stress) utilisant diff\u00e9rents agents tels que l&#8217;ad\u00e9nosine, le dipyridamole, le r\u00e9gad\u00e9nosone et la dobutamine peut \u00eatre r\u00e9alis\u00e9e en toute s\u00e9curit\u00e9 chez les enfants atteints de cardiopathie cong\u00e9nitale. Il est particuli\u00e8rement fiable pour \u00e9valuer la perfusion myocardique chez les enfants pr\u00e9sentant une origine anormale d&#8217;une art\u00e8re coronaire.<\/p>\n<p><em>Source : 68e American Congress of Cardiology (ACC), 16-18 mars 2019, Nouvelle-Orl\u00e9ans (\u00c9tats-Unis)<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>CARDIOVASC 2019 ; 18(2) : 32<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;imagerie radiologique des enfants et des adolescents doit tenir compte de leurs pr\u00e9occupations individuelles, physiques et psychologiques, li\u00e9es \u00e0 leur \u00e2ge. Pas toujours facile.<\/p>\n","protected":false},"author":7,"featured_media":88637,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Radiologie","footnotes":"","_members_access_role":[],"_members_access_error":""},"category":[11378,11458,11492,11535,11549],"tags":[29541,29547,29536],"powerkit_post_featured":[],"class_list":["post-336364","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologie","category-pediatrie","category-radiologie-fr","category-rapports-de-congres","category-rx-fr","tag-arteres-coronaires","tag-imagerie-radiologique","tag-radiologie-pediatrique","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-08-01 09:52:16","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":336375,"slug":"valutazione-delle-arterie-coronarie-nei-bambini","post_title":"Valutazione delle arterie coronarie nei bambini","href":"https:\/\/medizinonline.com\/it\/valutazione-delle-arterie-coronarie-nei-bambini\/"},"pt_PT":{"locale":"pt_PT","id":336386,"slug":"avaliacao-das-arterias-coronarias-nas-criancas","post_title":"Avalia\u00e7\u00e3o das art\u00e9rias coron\u00e1rias nas crian\u00e7as","href":"https:\/\/medizinonline.com\/pt-pt\/avaliacao-das-arterias-coronarias-nas-criancas\/"},"es_ES":{"locale":"es_ES","id":336343,"slug":"evaluacion-de-las-arterias-coronarias-en-ninos","post_title":"Evaluaci\u00f3n de las arterias coronarias en ni\u00f1os","href":"https:\/\/medizinonline.com\/es\/evaluacion-de-las-arterias-coronarias-en-ninos\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/336364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=336364"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/336364\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=336364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=336364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=336364"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=336364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}