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

Is IVUS Always Necessary for Left Main Coronary Artery PCI?

Percutaneous coronary intervention (PCI) of the unprotected left main coronary artery is a highly complex procedure because of the large amount of myocardium at...

Dual-Prep Registry: Atherectomy and IVL for Severe Coronary Calcification

Severe coronary calcification remains one of the most challenging scenarios in percutaneous coronary intervention (PCI). Although rotational or orbital atherectomy and intravascular lithotripsy (IVL)...

Prehospital heparin in STEMI: A safe strategy associated with improved early reperfusion

Early reperfusion remains the main prognostic determinant in patients with ST-segment elevation myocardial infarction (STEMI). Although primary percutaneous coronary intervention (PCI) is the treatment...

Plaque Ruptures in Non-Culprit Arteries: Follow-Up With Intravascular Imaging

Plaque rupture remains one of the most important pathophysiological mechanisms in acute coronary syndromes. However, not all ruptures manifest clinically as ischemia, myocardial infarction,...

LEAVE A REPLY

Please enter your comment!
Please enter your name here

Related Articles

SOLACI Sessionsspot_img
Jornadas Guatemala 2026

Recent Articles

UNICORN Technique to Prevent Coronary Obstruction During TAVI: Initial Results From a Multicenter Study

Coronary obstruction is an uncommon but potentially catastrophic complication of transcatheter aortic valve implantation (TAVI), particularly in valve-in-valve procedures, TAV-in-TAV interventions, or in patients...

Supera vs. Eluvia at 3 Years in Severely Calcified Femoropopliteal Lesions

Severe calcification remains one of the main predictors of restenosis and the need for repeat revascularization following endovascular treatment of femoropopliteal disease. In this...

Is IVUS Always Necessary for Left Main Coronary Artery PCI?

Percutaneous coronary intervention (PCI) of the unprotected left main coronary artery is a highly complex procedure because of the large amount of myocardium at...