Tomography vs FFR to identify lesions that cause ischemia

Original title: Atherosclerotic Plaque Characteristics by CT Angiography Identify Coronary Lesions That Cause IschemiaA Direct Comparison to Fractional Flow Reserve. Reference: Hyung-Bok Park et al. J Am CollCardiolImg. 2015;8(1):1-10.

This trial evaluated the characteristics of arteriosclerotic plaques and its association with lesion ischemia by CT angiography (CTA) vs fractional flow reserve (FFR).

FFR is the gold standard to determine lesion ischemia. Despite the fact that atherosclerotic plaque characteristics by CTA, as well as aggregate plaque volume, positive remodeling, low attenuation and calcifications are associated with future acute coronary syndromes, its relationship to ischemia remains unclear. This trial included 252 patients (17 centers and 5 countries) undergoing CTA and FFR in 407 lesions.

Of all lesions, 151 (37%) presented a

More articles by this author

EMERALD II: Non-Invasive Coronary Anatomy and Physiology (CCTA) in ACS Prediction

Despite steady progress in secondary prevention and medical treatment optimization (OMT), acute coronary syndrome (ACS) remains one of the leading causes of cardiovascular morbimortality....

Left or Right Transradial Approach? Comparing Radiation Exposure in Coronary Procedures

Radiation exposure during percutaneous procedures is a problem both for patients and operators. The transradial is currently the preferred approach, vs. femoral; however, whether...

Dual Antiplatelet Therapy in Diabetic Patients with AMI: De-Escalation Strategy

Diabetes Mellitus (DM) is a common comorbidity in patients hospitalized for acute coronary syndrome (ACS) of increasing prevalence over the last decade, associated with...

COILSEAL: Use of Coils in Percutaneous Coronary Intervention, Useful for Complication Management?

The use of coils as vascular closing tool has been steadily expanding beyond its traditional role in neuroradiology into coronary territory, where it remains...

LEAVE A REPLY

Please enter your comment!
Please enter your name here

Related Articles

SOLACI Sessionsspot_img

Recent Articles

Transapical TMVR in High Risk Patients: Intrepid 5-Year Outcomes

Moderate to severe mitral valve regurgitation (MR) continues is still a high prevalence condition with bad prognosis, particularly among the elderly with left ventricular...

EMERALD II: Non-Invasive Coronary Anatomy and Physiology (CCTA) in ACS Prediction

Despite steady progress in secondary prevention and medical treatment optimization (OMT), acute coronary syndrome (ACS) remains one of the leading causes of cardiovascular morbimortality....

Impact of Balloon Post-Dilation on the Long-Term Durability of Bioprostheses after TAVR

Balloon post-dilation (BPD) during transcatheter aortic valve replacement (TAVR) allows for the optimization of prosthesis expansion and the reduction of residual paravalvular aortic regurgitation....