Invasive coronary angiography has been the preferred diagnostic method to guide the decision-making process between coronary artery bypass grafting (CABG) and percutaneous coronary intervention and plan a surgical revascularization procedure. Guidelines recommend a heart team approach and assessment of coronary artery disease (CAD) complexity, objectively quantified by the anatomical SYNTAX score. Coronary computed tomography angiography (CCTA) and CT-derived fractional flow reserve (FFRCT) are emerging technologies in the diagnosis of stable CAD. In this study, data from patients with left main or 3-vessel CAD who underwent CABG were evaluated to assess the feasibility of developing a surgical plan based on CCTA integrated with FFRCT. The primary objective was to assess the theoretical feasibility of surgical decision-making and treatment planning based only on non-invasive imaging.
|Titolo:||Feasibility of planning coronary artery bypass grafting based only on coronary computed tomography angiography and CT-derived fractional flow reserve : a pilot survey of the surgeons involved in the randomized SYNTAX III Revolution trial|
|Parole Chiave:||Computed tomography-derived fractional flow reserve; Coronary artery bypass grafting; Coronary computed tomography angiography; Left main or 3-vessel coronary artery disease; SYNTAX score; Stable coronary artery disease|
|Settore Scientifico Disciplinare:||Settore MED/11 - Malattie dell'Apparato Cardiovascolare|
Settore MED/23 - Chirurgia Cardiaca
|Data di pubblicazione:||ago-2019|
|Digital Object Identifier (DOI):||10.1093/icvts/ivz046|
|Appare nelle tipologie:||01 - Articolo su periodico|