4.15: Diagnostic accuracy and impact of computed tomographic coronary angiography on utilization of invasive coronary angiography

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Diagnostic accuracy and impact of computed tomographic coronary angiography on utilization of invasive coronary angiography.

BACKGROUND Computed tomographic coronary angiography (CTA), given its high negative predictive value, is a potential gatekeeper for invasive coronary angiography (ICA). Before CTA can be further accepted into clinical practice, its impact on healthcare resources needs to be better understood. We sought to determine the clinical impact of CTA on ICA referrals, CTA accuracy, and normalcy rate. ...

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O ne million patients undergo invasive coronary angiogra-phy (CA) in the United States every year. 1 In view of its invasive nature and related costs, noninvasive imaging of coronary imaging has the theoretical appeal to improve comfort for patients, reduce cost, and refine patient selection to limit invasive procedures to patients requiring treatment for ischemic coronary artery disease (CAD)....

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OBJECTIVES We sought to evaluate the contribution of noninvasive dual-source computed tomography angiography (CTA) in the comprehensive assessment of symptomatic patients after coronary artery bypass grafting (CABG). BACKGROUND Assessment of bypass grafts and distal runoffs by invasive coronary angiography is cumbersome and often requires extra procedure time, contrast load, and radiation exp...

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Anatomy of an emerging diagnostic test: computed tomographic coronary angiography.

The study by Mollet et al on CT coronary angiography in this issue of Circulation is important for several reasons.1 The 64-multislice technology for acquiring tomographic x-rays of the coronary vessels during the arterial phase of a bolus of iodinated contrast introduces several technical advances: improved spatial resolution (thinner slices), improved temporal resolution (less time needed to ...

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ژورنال

عنوان ژورنال: Journal of Nuclear Cardiology

سال: 2008

ISSN: 1071-3581

DOI: 10.1016/j.nuclcard.2008.06.092