CT coronary angiography: a paradigm shift for functional imaging tests

被引:9
作者
Alfakih, Khaled [1 ,2 ]
Byrne, Jonathan [2 ]
Monaghan, Mark [2 ]
机构
[1] Univ Hosp Lewisham, Dept Cardiol, London, England
[2] Kings Coll Hosp London, Dept Cardiol, London, England
关键词
D O I
10.1136/openhrt-2017-000754
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The UK National Institute for Health and Care Excellence (NICE) have just updated their guideline on new-onset stable chest pain, recommending that all patients should be investigated with a CT coronary angiography (CTCA). In a separate guideline, NICE recommended CT fractional flow reserve (CT-FFR), to assess coronary stenoses, found on CTCA, stating that this would reduce the need for invasive coronary angiography and hence reduce cost. We discuss the evidence base for CT-FFR and emphasise that we already have established functional imaging tests, with extensive evidence base for efficacy and prognosis and that CT-FFR should be compared with this standard of care and not with the much more expensive and invasive fractional flow reserve undertaken during invasive coronary angiography.
引用
收藏
页数:3
相关论文
共 21 条
[1]  
[Anonymous], HEARTFLOW FFRCT EST
[2]  
BSCI/ BSCCT, 2016, BRIT SOC CARD IM BRI
[3]   Diagnostic Performance of 64-Multidetector Row Coronary Computed Tomographic Angiography for Evaluation of Coronary Artery Stenosis in Individuals Without Known Coronary Artery Disease [J].
Budoff, Matthew J. ;
Dowe, David ;
Jollis, James G. ;
Gitter, Michael ;
Sutherland, John ;
Halamert, Edward ;
Scherer, Markus ;
Bellinger, Raye ;
Martin, Arthur ;
Benton, Robert ;
Delago, Augustin ;
Min, James K. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (21) :1724-1732
[4]   Diagnostic Accuracy of Computed Tomography-Derived Fractional Flow Reserve A Systematic Review [J].
Cook, Christopher M. ;
Petraco, Ricardo ;
Shun-Shin, Matthew J. ;
Ahmad, Yousif ;
Nijjer, Sukhjinder ;
Al-Lamee, Rasha ;
Kikuta, Yuetsu ;
Shiono, Yasutsugu ;
Mayet, Jamil ;
Francis, Darrel P. ;
Sen, Sayan ;
Davies, Justin E. .
JAMA CARDIOLOGY, 2017, 2 (07) :803-810
[5]   Evaluation of computed tomography in patients with atypical angina or chest pain clinically referred for invasive coronary angiography: randomised controlled trial [J].
Dewey, Marc ;
Rief, Matthias ;
Martus, Peter ;
Kendziora, Benjamin ;
Feger, Sarah ;
Dreger, Henryk ;
Priem, Sascha ;
Knebel, Fabian ;
Boehm, Marko ;
Schlattmann, Peter ;
Hamm, Bernd ;
Schoenenberger, Eva ;
Laule, Michael ;
Zimmermann, Elke .
BMJ-BRITISH MEDICAL JOURNAL, 2016, 355
[6]   Clinical outcomes of fractional flow reserve by computed tomographic angiography-guided diagnostic strategies vs. usual care in patients with suspected coronary artery disease: the prospective longitudinal trial of FFRCT: outcome and resource impacts study [J].
Douglas, Pamela S. ;
Pontone, Gianluca ;
Hlatky, Mark A. ;
Patel, Manesh R. ;
Norgaard, Bjarne L. ;
Byrne, Robert A. ;
Curzen, Nick ;
Purcell, Ian ;
Gutberlet, Matthias ;
Rioufol, Gilles ;
Hink, Ulrich ;
Schuchlenz, Herwig Walter ;
Feuchtner, Gudrun ;
Gilard, Martine ;
Andreini, Daniele ;
Jensen, Jesper M. ;
Hadamitzky, Martin ;
Chiswell, Karen ;
Cyr, Derek ;
Wilk, Alan ;
Wang, Furong ;
Rogers, Campbell ;
De Bruyne, Bernard .
EUROPEAN HEART JOURNAL, 2015, 36 (47) :3359-3367
[7]   Outcomes of Anatomical versus Functional Testing for Coronary Artery Disease [J].
Douglas, Pamela S. ;
Hoffmann, Udo ;
Patel, Manesh R. ;
Mark, Daniel B. ;
Al-Khalidi, Hussein R. ;
Cavanaugh, Brendan ;
Cole, Jason ;
Dolor, Rowena J. ;
Fordyce, Christopher B. ;
Huang, Megan ;
Khan, Muhammad Akram ;
Kosinski, Andrzej S. ;
Krucoff, Mitchell W. ;
Malhotra, Vinay ;
Picard, Michael H. ;
Udelson, James E. ;
Velazquez, Eric J. ;
Yow, Eric ;
Cooper, Lawton S. ;
Lee, Kerry L. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (14) :1291-1300
[8]   Quality-of-Life and Economic Outcomes of Assessing Fractional Flow Reserve With Computed Tomography Angiography PLATFORM [J].
Hlatky, Mark A. ;
De Bruyne, Bernard ;
Pontone, Gianluca ;
Patel, Manesh R. ;
Norgaard, Bjarne L. ;
Byrne, Robert A. ;
Curzen, Nick ;
Purcell, Ian ;
Gutberlet, Matthias ;
Rioufol, Gilles ;
Hink, Ulrich ;
Schuchlenz, Herwig Walter ;
Feuchtner, Gudrun ;
Gilard, Martine ;
Andreini, Daniele ;
Jensen, Jesper M. ;
Hadamitzky, Martin ;
Wilk, Alan ;
Wang, Furong ;
Rogers, Campbell ;
Douglas, Pamela S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 66 (21) :2315-2323
[9]  
ISCHEMIA, 2018, FOR PHYS
[10]   ACCURACY OF DOBUTAMINE STRESS ECHOCARDIOGRAPHY IN DETECTING CORONARY-ARTERY DISEASE [J].
MARCOVITZ, PA ;
ARMSTRONG, WF .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 69 (16) :1269-1273