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
Prognostic value of multidetector coronary computed tomographic angiography for prediction of all-cause mortality.
James K. Min,Leslee J. Shaw,Richard B. Devereux,Peter M. Okin,Jonathan W. Weinsaft,Donald J. Russo,Nicholas J. Lippolis,Daniel S. Berman,Tracy Q. Callister +8 more
TL;DR: In patients with chest pain, CCTA identifies increased risk for all-cause death and a negative C CTA portends an extremely low risk for death.
Journal ArticleDOI
ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography
Allen J. Taylor,Manuel D. Cerqueira,John McB. Hodgson,Daniel B. Mark,James K. Min,Patrick T. O'Gara,Geoffrey D. Rubin,Christopher M. Kramer,Daniel S. Berman,Alan S. Brown,Farooq A. Chaudhry,Ricardo C. Cury,Milind Y. Desai,Andrew J. Einstein,Antoinette S. Gomes,Robert A. Harrington,Udo Hoffmann,Rahul Khare,John R. Lesser,Christopher J. McGann,Alan Rosenberg,Robert S. Schwartz,Marc E. Shelton,Gerald W. Smetana,Sidney C. Smith,Michael J. Wolk,Joseph M. Allen,Steven R. Bailey,Pamela S. Douglas,Robert C. Hendel,Manesh R. Patel,Leslee J. Shaw,Raymond F. Stainback +32 more
TL;DR: An appropriate use review of common clinical scenarios where cardiac computed tomography (CCT) is frequently considered found use of CCT angiography for diagnosis and risk assessment in patients with low or intermediate risk or pretest probability for coronary artery disease (CAD) was viewed favorably, whereas testing in high-risk patients, routine repeat testing, and general screening in certain clinical scenarios were viewed less favorably.
Journal ArticleDOI
Coronary angiography with multi-slice computed tomography
Koen Nieman,Matthijs Oudkerk,Benno J. Rensing,Peter M. A. van Ooijen,Aristoteles Munne,Robert-Jan van Geuns,Pim J. de Feyter +6 more
TL;DR: Preliminary data suggest that MSCT allows non-invasive imaging of coronary-artery stenoses and has potential to develop into a reliable clinical technique.
Journal ArticleDOI
Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound.
Alexander W Leber,Alexander Becker,Andreas Knez,Franz von Ziegler,Marc Sirol,Konstantin Nikolaou,Bernd Ohnesorge,Zahi A. Fayad,Christoph R. Becker,Maximilian F. Reiser,Gerhard Steinbeck,Peter Boekstegers +11 more
TL;DR: It is concluded that 64-slice CT reveals encouraging results to noninvasively detect different types of coronary plaques located in the proximal coronary system.
Journal ArticleDOI
Age- and sex-related differences in all-cause mortality risk based on coronary computed tomography angiography findings results from the International Multicenter CONFIRM (Coronary CT Angiography Evaluation for Clinical Outcomes: An International Multicenter Registry) of 23,854 patients without known coronary artery disease.
James K. Min,Allison Dunning,Fay Y. Lin,Stephan Achenbach,Mouaz H. Al-Mallah,Matthew J. Budoff,Filippo Cademartiri,Tracy Q. Callister,Hyuk Jae Chang,Victor Y. Cheng,Kavitha Chinnaiyan,Benjamin J.W. Chow,Augustin Delago,Martin Hadamitzky,Joerg Hausleiter,Philipp A. Kaufmann,Erica Maffei,Gilbert L. Raff,Leslee J. Shaw,Todd C. Villines,Daniel S. Berman +20 more
TL;DR: Among individuals without known CAD, nonobstructive and obstructive CAD by CCTA are associated with higher rates of mortality, with risk profiles differing for age and sex, and absence of CAD is associated with a very favorable prognosis.
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