TY - JOUR
T1 - Evolving Role of Coronary CT Angiography in Coronary Angiography and Intervention
T2 - A State-of-the-Art Review
AU - Shoar, Saeed
AU - Shalaby, Mostafa
AU - Motiwala, Afaq
AU - Jneid, Hani
AU - Allencherril, Joseph
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
PY - 2024/12
Y1 - 2024/12
N2 - Purpose of Review: Despite growing evidence supporting the diagnostic utility of coronary computed tomographic angiography (CCTA) for anatomical assessment of coronary artery disease (CAD), its is underutilized in peri-procedural planning especially in the acute setting. Recent Findings: Incorporation of flow reserve measurement techniques into CCTA has expanded its sensitivity and specificity for obstructive disease, and continued improvement in CCTA technology permits more accurate cross-sectional plaque characterization. Summary: CCTA has the potential to constitute the mainstay of pre-procedural planning for patients with CAD, who are being considered for percutaneous coronary intervention, reducing their ad hoc nature while facilitating equipment selection and improving catheterization lab safety and throughput. Future studies are needed to compare the cost and benefits of more frequent use of routine pre-procedural CCTA prior to coronary angiography and intervention.
AB - Purpose of Review: Despite growing evidence supporting the diagnostic utility of coronary computed tomographic angiography (CCTA) for anatomical assessment of coronary artery disease (CAD), its is underutilized in peri-procedural planning especially in the acute setting. Recent Findings: Incorporation of flow reserve measurement techniques into CCTA has expanded its sensitivity and specificity for obstructive disease, and continued improvement in CCTA technology permits more accurate cross-sectional plaque characterization. Summary: CCTA has the potential to constitute the mainstay of pre-procedural planning for patients with CAD, who are being considered for percutaneous coronary intervention, reducing their ad hoc nature while facilitating equipment selection and improving catheterization lab safety and throughput. Future studies are needed to compare the cost and benefits of more frequent use of routine pre-procedural CCTA prior to coronary angiography and intervention.
KW - Coronary CT angiography
KW - Coronary angiography
KW - Coronary artery diseases
KW - Revascularization
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U2 - 10.1007/s11886-024-02144-0
DO - 10.1007/s11886-024-02144-0
M3 - Article
C2 - 39412596
AN - SCOPUS:85206807977
SN - 1523-3782
VL - 26
SP - 1347
EP - 1357
JO - Current Cardiology Reports
JF - Current Cardiology Reports
IS - 12
ER -