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Computed tomographic angiography in coronary artery disease.
- Source :
-
EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology [EuroIntervention] 2023 Apr 03; Vol. 18 (16), pp. e1307-e1327. Date of Electronic Publication: 2023 Apr 03. - Publication Year :
- 2023
-
Abstract
- Coronary computed tomographic angiography (CCTA) is becoming the first-line investigation for establishing the presence of coronary artery disease and, with fractional flow reserve (FFR <subscript>CT</subscript> ), its haemodynamic significance. In patients without significant epicardial obstruction, its role is either to rule out atherosclerosis or to detect subclinical plaque that should be monitored for plaque progression/regression following prevention therapy and provide risk classification. Ischaemic non-obstructive coronary arteries are also expected to be assessed by non-invasive imaging, including CCTA. In patients with significant epicardial obstruction, CCTA can assist in planning revascularisation by determining the disease complexity, vessel size, lesion length and tissue composition of the atherosclerotic plaque, as well as the best fluoroscopic viewing angle; it may also help in selecting adjunctive percutaneous devices (e.g., rotational atherectomy) and in determining the best landing zone for stents or bypass grafts.
- Subjects :
- Humans
Coronary Angiography methods
Predictive Value of Tests
Tomography, X-Ray Computed methods
Computed Tomography Angiography methods
Coronary Vessels diagnostic imaging
Coronary Vessels surgery
Coronary Vessels pathology
Coronary Artery Disease diagnosis
Fractional Flow Reserve, Myocardial
Plaque, Atherosclerotic diagnostic imaging
Plaque, Atherosclerotic pathology
Coronary Stenosis
Subjects
Details
- Language :
- English
- ISSN :
- 1969-6213
- Volume :
- 18
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 37025086
- Full Text :
- https://doi.org/10.4244/EIJ-D-22-00776