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Review
. 2024 Dec;26(12):1347-1357.
doi: 10.1007/s11886-024-02144-0. Epub 2024 Oct 16.

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

Saeed Shoar  1 , Mostafa Shalaby  2 , Afaq Motiwala  2 , Hani Jneid  2 , Joseph Allencherril  2
Affiliations
Review

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

Saeed Shoar et al. Curr Cardiol Rep. 2024 Dec.

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.

Keywords: Coronary CT angiography; Coronary angiography; Coronary artery diseases; Revascularization.

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Conflict of interest statement

Declarations. Human and Animal Rights and Informed Consent: This article does not contain any studies with human or animal subjects performed by any of the authors. Competing Interests: The authors declare no competing interests.

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