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
Cardiac Imaging by Means of Electrocardiographically Gated Multisection Spiral CT: Initial Experience
Bernd Ohnesorge,Thomas Flohr,Christoph R. Becker,Andreas F. Kopp,U. J. Schoepf,Ullrich Baum,Andreas Knez,Klaus Klingenbeck-Regn,Maximilian F. Reiser +8 more
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Journal ArticleDOI
ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography: A report of the American college of cardiology foundation appropriate use criteria task force, the society of cardiovascular computed tomography, the American college of radiology, the American heart association, the American society of echocardiography
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 K. 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
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Journal ArticleDOI
Prognostic value of multislice computed tomography coronary angiography in patients with known or suspected coronary artery disease.
Gabija Pundziute,Joanne D. Schuijf,J. Wouter Jukema,Eric Boersma,Albert de Roos,Ernst E. van der Wall,Jeroen J. Bax +6 more
TL;DR: Multislice computed tomography coronary angiography provides independent prognostic information over baseline clinical risk factors in patients with known and suspected CAD.
Journal ArticleDOI
64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis.
TL;DR: 64-Slice CT is highly sensitive for patient-based detection of CAD and has high NPV, which means that it may have a role in the assessment of chest pain, particularly when the diagnosis remains uncertain despite clinical evaluation and simple non-invasive testing.
Journal ArticleDOI
Diagnostic performance of multislice spiral computed tomography of coronary arteries as compared with conventional invasive coronary angiography: a meta-analysis
Michèle Hamon,Giuseppe Biondi-Zoccai,Patrizia Malagutti,Pierfrancesco Agostoni,Rémy Morello,Marco Valgimigli,Martial Hamon +6 more
TL;DR: Multislice spiral computed tomography has shortcomings difficult to overcome in daily practice and, at the more clinically relevant per-patient analysis, continues to have moderate specificity in patients with high prevalence of CAD.
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