TY - JOUR
T1 - Cardiac Computed Tomography for Comprehensive Coronary Assessment
T2 - Beyond Diagnosis of Anatomic Stenosis
AU - Parikh, Roosha
AU - Patel, Apurva
AU - Lu, Bin
AU - Senapati, Alpana
AU - Mahmarian, John
AU - Chang, Su-Min
N1 - © 2020 Houston Methodist Hospital Houston, Texas.
PY - 2020/7/17
Y1 - 2020/7/17
N2 - Cardiac computed tomography angiography (CCTA) has evolved into a versatile imaging modality that can depict atherosclerosis burden, determine functional significance of a stenotic lesion, and guide the management and treatment of stable coronary artery disease.1 With newer-generation scanners, diagnostic CCTA can be obtained in the majority of patients with a very acceptable radiation dose. We discuss the ability of CCTA to provide comprehensive assessment of a patient with suspected CAD, 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. In addition, recent data validated the role of CCTA in managing stable patients with chest pain and suspected CAD, serving as a gatekeeper for invasive coronary angiogram as well as optimizing the preprocedural planning of percutaneous coronary revascularization and coronary artery bypass surgery.
AB - Cardiac computed tomography angiography (CCTA) has evolved into a versatile imaging modality that can depict atherosclerosis burden, determine functional significance of a stenotic lesion, and guide the management and treatment of stable coronary artery disease.1 With newer-generation scanners, diagnostic CCTA can be obtained in the majority of patients with a very acceptable radiation dose. We discuss the ability of CCTA to provide comprehensive assessment of a patient with suspected CAD, 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. In addition, recent data validated the role of CCTA in managing stable patients with chest pain and suspected CAD, serving as a gatekeeper for invasive coronary angiogram as well as optimizing the preprocedural planning of percutaneous coronary revascularization and coronary artery bypass surgery.
KW - CT fusion imaging
KW - cardiac computed tomography angiography
KW - coronary artery disease
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UR - https://journal.houstonmethodist.org/article-full-text/1142/cardiac-computed-tomography-for-comprehensive-coronary-assessment-beyond-diagnosis-of-anatomic-stenosis/
U2 - 10.14797/mdcj-16-2-77
DO - 10.14797/mdcj-16-2-77
M3 - Review article
C2 - 32670467
AN - SCOPUS:85088156292
SN - 1947-6094
VL - 16
SP - 77
EP - 85
JO - Methodist DeBakey cardiovascular journal
JF - Methodist DeBakey cardiovascular journal
IS - 2
ER -