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

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Development and Disease Pub Date : 2025-01-16 DOI:10.3390/jcdd12010028

Eirini Beneki, Kyriakos Dimitriadis, Nikolaos Pyrpyris, Alexios Antonopoulos, Konstantinos Aznaouridis, Panagiotis Antiochos, Christos Fragoulis, Henri Lu, David Meier, Konstantinos Tsioufis, Stephane Fournier, Constantina Aggeli, Georgios Tzimas

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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.

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