Journal ArticleDOI
Computed tomography angiography for the interventional cardiologist
Pedro de Araújo Gonçalves,Carlos M. Campos,Carlos M. Campos,Patrick W. Serruys,Hector M. Garcia-Garcia +4 more
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TLDR
It is therefore of utmost importance that interventional cardiologists become familiar with image interpretation and up-to-date regarding several CCTA features, taking advantage of this information in planning the procedure, ultimately leading to improvement in patient outcomes.Abstract:
In recent years, coronary CT angiography (CCTA) has become a widely adopted technique, not only due to its high diagnostic accuracy, but also to the fact that CCTA provides a comprehensive evaluation of the total (obstructive and non-obstructive) coronary atherosclerotic burden. More recently, this technique has become mature, with a large body of evidence addressing its prognostic validation. In addition, CT angiography has moved from the field of ‘imagers’ and clinicians and entered the interventional cardiology arena, aiding in the planning of both coronary and structural heart interventions, being transcatheter aortic valve implantation one of its most successful examples. It is therefore of utmost importance that interventional cardiologists become familiar with image interpretation and up-to-date regarding several CTA features, taking advantage of this information in planning the procedure, ultimately leading to improvement in patient outcomes. On the other hand, the increasing use of CCTA as a gatekeeper for invasive coronary angiography is expected to lead to an increase in the ratio of interventional to diagnostic procedures and significant changes in the daily cath-lab routine. In a foreseeable future, cath-labs will probably offer an invasive procedure only to patients expected to undergo an intervention, perhaps becoming in this change true interventional-labs.read more
Citations
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Journal ArticleDOI
Comparative Effectiveness of CT-Derived Atherosclerotic Plaque Metrics for Predicting Myocardial Ischemia
Hooman Bakhshi,Zahra Meyghani,Satoru Kishi,Tiago A. Magalhães,Andrea Vavere,Pieter H. Kitslaar,Richard T. George,Hiroyuki Niinuma,Johan H. C. Reiber,Aisha Betoko,Matthew B. Matheson,Carlos E. Rochitte,Marcelo F. Di Carli,Christopher Cox,Joao A.C. Lima,Armin Arbab-Zadeh +15 more
TL;DR: Various plaque metrics obtained by cardiac CT predict provocable myocardial ischemia by CT perfusion imaging through their association with maximum percent stenosis, while none had significant incremental value.
Journal ArticleDOI
Integration of non-invasive functional assessments with anatomical risk stratification in complex coronary artery disease: the non-invasive functional SYNTAX score.
Carlos Collet,Yoshinobu Onuma,Yosuke Miyazaki,Marie-Angèle Morel,Patrick W. Serruys,Patrick W. Serruys +5 more
TL;DR: The integration of a novel non-invasive functional coronary assessment with the angiographic risk score in patients with multivessel CAD further refines the identification of patients at risk and provides a recommendation for the Heart Team regarding the treatment strategy.
Journal ArticleDOI
Computed Tomography for Structural Heart Disease and Interventions.
Pascal Thériault-Lauzier,Marco Spaziano,Beatriz Vaquerizo,Jean Buithieu,Giuseppe Martucci,Nicolo Piazza +5 more
TL;DR: This review article outlines the use of MSCT as a tool for diagnosis of structural heart interventions, as well as patient selection, pre-procedural planning, device sizing and post-Procedural assessment.
Journal ArticleDOI
Cardiac Computed Tomography for Comprehensive Coronary Assessment: Beyond Diagnosis of Anatomic Stenosis
TL;DR: The ability of CCTA to provide comprehensive assessment of a patient with suspected CAD is discussed, including functional techniques of stress-rest myocardial perfusion assessment using a vasodilator and a purely post-processing approach that assesses fractional flow reserve derived by CCTa.
Journal ArticleDOI
The Value of 16-cm Wide-Detector Computed Tomography in Coronary Computed Tomography Angiography for Patients With High Heart Rate Variability.
Yuhuan Chen,Donghong Wei,Dou Li,Zhentang Liu,Zhijun Hu,Michelle Li,Yongjun Jia,Yong Yu,Dong Han,Ranzhi Ren,Nan Yu,Taiping He +11 more
TL;DR: Single-heartbeat free-breathing CCTA can be performed for patients with high HRv using 16-cm wide-detector CT scanner to achieve diagnostic image quality with low radiation dose.
References
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Journal ArticleDOI
ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization: a report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology.
Manesh R. Patel,Gregory J. Dehmer,John W. Hirshfeld,Peter K. Smith,John A. Spertus,Frederick A. Masoudi,Ralph G. Brindis,Karen J. Beckman,Charles E. Chambers,T. Bruce Ferguson,Mario J. Garcia,Grover Fl,David R. Holmes,Lloyd W. Klein,Marian C. Limacher,Michael J. Mack,David J. Malenka,Myung H. Park,Michael Ragosta,James L. Ritchie,Geoffrey A. Rose,Alan Rosenberg,Richard J. Shemin,William S. Weintraub,Michael J. Wolk,Joseph M. Allen,Pamela S. Douglas,Robert C. Hendel,Eric D. Peterson +28 more
TL;DR: An appropriateness review of common clinical scenarios in which coronary revascularization is frequently considered conducted, it is anticipated that these results will have an impact on physician decision making and patient education regarding expected benefits fromRevascularization and will help guide future research.
Journal ArticleDOI
Feasibility of Noninvasive Assessment of Thin-Cap Fibroatheroma by Multidetector Computed Tomography
Manabu Kashiwagi,Atsushi Tanaka,Hironori Kitabata,Hiroto Tsujioka,Hideaki Kataiwa,Kenichi Komukai,Takashi Tanimoto,Kazushi Takemoto,Shigeho Takarada,Takashi Kubo,Kumiko Hirata,Nobuo Nakamura,Masato Mizukoshi,Toshio Imanishi,Takashi Akasaka +14 more
TL;DR: MDCT can identify differences in plaque morphologies between TCFA and non-TCFA, and may provide for the noninvasive assessment of vulnerable plaque.
Journal ArticleDOI
Automated quantification of coronary plaque with computed tomography: comparison with intravascular ultrasound using a dedicated registration algorithm for fusion-based quantification
Mark J. Boogers,Alexander Broersen,Joëlla E. van Velzen,Fleur R. de Graaf,Heba M. El-Naggar,Pieter H. Kitslaar,Jouke Dijkstra,Victoria Delgado,Eric Boersma,Albert de Roos,Joanne D. Schuijf,Martin J. Schalij,Johan H. C. Reiber,Jeroen J. Bax,J. Wouter Jukema +14 more
TL;DR: Automated quantification of coronary plaque on CT is feasible using dedicated quantitative software with a novel 3D coregistration algorithm of CT and intravascular ultrasound (IVUS) data sets.
Journal ArticleDOI
Incremental prognostic value of cardiac computed tomography in coronary artery disease using CONFIRM: COroNary computed tomography angiography evaluation for clinical outcomes: an InteRnational Multicenter registry.
Benjamin J.W. Chow,Gary W. Small,Yeung Yam,Li Chen,Stephan Achenbach,Mouaz H. Al-Mallah,Daniel S. Berman,Matthew J. Budoff,Filippo Cademartiri,Tracy Q. Callister,Hyuk Jae Chang,Victor Y. Cheng,Kavitha Chinnaiyan,Augustin Delago,Allison Dunning,Martin Hadamitzky,J. Hausleiter,Philipp A. Kaufmann,Fay Y. Lin,Erica Maffei,Gilbert Raff,Leslee J. Shaw,Todd C. Villines,James K. Min +23 more
TL;DR: In this article, the independent and incremental prognostic value of coronary artery disease (CAD) severity measured using 64-slice CCTA over LVEF and clinical variables was confirmed.
Journal ArticleDOI
Multimodality Imaging in Transcatheter Aortic Valve Implantation and Post-Procedural Aortic Regurgitation: Comparison Among Cardiovascular Magnetic Resonance, Cardiac Computed Tomography, and Echocardiography
Andrew Jabbour,Tevfik F Ismail,Neil Moat,Ankur Gulati,Isabelle Roussin,Francisco Alpendurada,Bradley Park,Francois Okoroafor,Anita W. Asgar,Sarah Barker,Simon J. Davies,Sanjay K Prasad,Michael B. Rubens,Raad H. Mohiaddin +13 more
TL;DR: In patients undergoing imaging assessment for TAVI, the presence and severity of AR after T AVI were associated with larger aortic annulus measurements by both CMR and CCT, but not TTE.
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