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.

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 / J. Sonck, Y. Miyazaki, C. Collet, Y. Onuma, T. Asano, K. Takahashi, N. Kogame, Y. Katagiri, R. Modolo, P.W. Serruys, A.L. Bartorelli, D. Andreini, T. Doenst, J.P. Maureira, A. Plass, M. La Meir, G. Pompilio. - In: INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY. - ISSN 1569-9293. - 29:2(2019 Aug), pp. 209-216. [10.1093/icvts/ivz046]

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

A.L. Bartorelli;D. Andreini;G. Pompilio
2019

Abstract

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.
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 MED/11 - Malattie dell'Apparato Cardiovascolare
Settore MED/23 - Chirurgia Cardiaca
ago-2019
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/658311
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