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Computed Tomography Angiography in the Catheterization Laboratory: A Guide Towards Optimizing Coronary Interventions

Abstract

Cardiac computed tomography (CT) has become an essential tool in the pre-procedural planning and optimization of coronary interventions. Its non-invasive nature allows for the detailed visualization of coronary anatomy, including plaque burden, vessel morphology, and the presence of stenosis, aiding in precise decision making for revascularization strategies. Clinicians can assess not only the extent of coronary artery disease but also the functional significance of lesions using techniques like fractional flow reserve (FFR-CT). By providing comprehensive insights into coronary structure and hemodynamics, cardiac CT helps guide personalized treatment plans, ensuring the more accurate selection of patients for percutaneous coronary interventions or coronary artery bypass grafting and potentially improving patient outcomes.

References
1.
Khav N, Ihdayhid A, Ko B . CT-Derived Fractional Flow Reserve (CT-FFR) in the Evaluation of Coronary Artery Disease. Heart Lung Circ. 2020; 29(11):1621-1632. DOI: 10.1016/j.hlc.2020.05.099. View

2.
Voros S, Rinehart S, Qian Z, Joshi P, Vazquez G, Fischer C . Coronary atherosclerosis imaging by coronary CT angiography: current status, correlation with intravascular interrogation and meta-analysis. JACC Cardiovasc Imaging. 2011; 4(5):537-48. DOI: 10.1016/j.jcmg.2011.03.006. View

3.
van Mieghem C, Thury A, Meijboom W, Cademartiri F, Mollet N, Weustink A . Detection and characterization of coronary bifurcation lesions with 64-slice computed tomography coronary angiography. Eur Heart J. 2007; 28(16):1968-76. DOI: 10.1093/eurheartj/ehm195. View

4.
Fischer C, Hulten E, Belur P, Smith R, Voros S, Villines T . Coronary CT angiography versus intravascular ultrasound for estimation of coronary stenosis and atherosclerotic plaque burden: a meta-analysis. J Cardiovasc Comput Tomogr. 2013; 7(4):256-66. DOI: 10.1016/j.jcct.2013.08.006. View

5.
Sorensen S, Kuhl J, Fuchs A, Norsk J, Kober L, Nordestgaard B . Volume and dimensions of angiographically normal coronary arteries assessed by multidetector computed tomography. J Cardiovasc Comput Tomogr. 2017; 11(4):295-301. DOI: 10.1016/j.jcct.2017.04.001. View