Evolving Role of Coronary CT Angiography in Coronary Angiography and Intervention: A State-of-the-Art Review.

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Saeed Shoar, Mostafa Shalaby, Afaq Motiwala, Hani Jneid, Joseph Allencherril
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引用次数: 0

Abstract

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. 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.

冠状动脉 CT 血管造影在冠状动脉血管造影和介入治疗中不断发展的作用:最新技术回顾
审查目的:尽管越来越多的证据支持冠状动脉计算机断层扫描(CCTA)在冠状动脉疾病(CAD)解剖评估中的诊断作用,但其在围手术期计划中的利用率却很低,尤其是在急性期:最近的研究结果:将血流储备测量技术纳入 CCTA 已提高了其对阻塞性疾病的敏感性和特异性,而 CCTA 技术的不断改进也允许对横截面斑块进行更准确的表征。CCTA 有可能成为考虑经皮冠状动脉介入治疗的 CAD 患者进行术前规划的主要手段,从而减少其临时性,同时方便设备选择,提高导管室的安全性和吞吐量。今后还需要开展研究,比较在冠状动脉造影和介入治疗前更频繁地使用常规术前 CCTA 的成本和效益。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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