Applications of multislice coronary computed tomographic angiography to percutaneous coronary intervention: how did we ever do without it?
By providing data previously available only by intravascular ultrasound, 64-slice multidetector computed tomographic angiography (CTA) will impact percutaneous coronary intervention (PCI) in multiple areas: (1) pre-PCI patient selection; (2) identification of significant lesions; (3) in-stent restenosis; (4) procedure planning: stent sizing, choice of intervention, and equipment, chronic total occlusions, 3D-CTA in the catheterization laboratory; (5) plaque evaluation and identification of high-risk lesions; (6) postcatheterization decisions, and (7) structural heart disease. The likely outcome is transformation of the catheterization laboratory into a streamlined interventional suite, utilizing on-line CTA data in an interactive format.
Hecht
Harvey S
HS
Department of International Cardiology, Lenox Hill Heart and Vascular Institute, New York, New York 1002, USA. hhecht@aol.com
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography / Q000379:methods*; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000628:therapy; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D016730:Program Development; D011474:Prosthesis Design; D011857:Radiographic Image Interpretation, Computer-Assisted; D015641:Radiography, Interventional / Q000379:methods*; D018570:Risk Assessment; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome