Rates of downstream invasive coronary angiography and revascularization: computed tomographic coronary angiography vs. Tc-99m single photon emission computed tomography

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Rates of downstream invasive coronary angiography and revascularization: computed tomographic coronary angiography vs. Tc-99m single photon emission computed tomography.

AIMS Computed tomographic coronary angiography (CTA) appears to be a useful modality for the detection of obstructive coronary artery disease (CAD). Recent data suggest that CTA may reduce the frequency of normal invasive coronary angiograms. However, there remains concern that the implementation of CTA could increase referrals to invasive coronary angiography (ICA). To further support the clin...

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Can coronary computed tomography angiography replace invasive angiography? Coronary computed tomography angiography cannot replace invasive angiography.

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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Computed tomography coronary angiography.

Recent developments in computed tomography technology have made imaging of the coronary arteries possible. All the same, the rapid motion and small dimensions of the coronary vessels make coronary computed tomography angiography (coronary CTA) challenging. With the last generations of 16- and 64-slice computed tomography and adequate patient preparation (which includes lowering of the heart rat...

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Coronary Computed Tomography Angiography

Coronary computed tomographic angiography (cCTA) as a noninvasive approach underlies a rapid technological development with an impressive improvement of spatial and temporal resolution of the images. Therefore, it has become an accurate and costeffective method to detect or exclude obstructive coronary artery disease (CAD) in patients with low to medium cardiovascular risk profile, as recommend...

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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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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2011

ISSN: 0195-668X,1522-9645

DOI: 10.1093/eurheartj/ehr346