Implementing Coronary Computed Tomography Angiography in the Catheterization Laboratory

Carlos Collet; Jeroen Sonck; Jonathon Leipsic; Giovanni Monizzi; Dimitri Buytaert; Pieter Kitslaar; Daniele Andreini; Bernard De Bruyne

doi:10.1016/j.jcmg.2020.07.048

Implementing Coronary Computed Tomography Angiography in the Catheterization Laboratory

JACC Cardiovasc Imaging. 2021 Sep;14(9):1846-1855. doi: 10.1016/j.jcmg.2020.07.048. Epub 2020 Nov 25.

Authors

Carlos Collet¹, Jeroen Sonck², Jonathon Leipsic³, Giovanni Monizzi⁴, Dimitri Buytaert⁴, Pieter Kitslaar⁵, Daniele Andreini⁶, Bernard De Bruyne⁷

Affiliations

¹ Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium. Electronic address: Carloscollett@gmail.com.
² Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium; Department of Advanced Biomedical Sciences, University of Naples, Federico II, Naples, Italy.
³ St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia Vancouver, Canada.
⁴ Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium.
⁵ Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands; Medis Medical Imaging Systems, Leiden, the Netherlands.
⁶ Centro Cardiologico Monzino, Milano, Italy.
⁷ Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium; Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.

PMID: 33248968
DOI: 10.1016/j.jcmg.2020.07.048

Abstract

Coronary computed tomography angiography (CCTA) is now an established tool in the diagnostic work-up of patients suspected to have coronary artery disease. Yet, its usefulness beyond this phase has not been fully explored. The current review focuses on the implementation of CCTA as a tool to plan and guide coronary interventions in the catheterization laboratory. Specifically, we explore the potential of CCTA to improve patient selection for percutaneous revascularization, provide the rationale for better resource use, and present a novel approach to incorporate 3-dimensional CT guidance for percutaneous coronary interventions.

Keywords: CT-guided PCI; cath lab; conventional angiography; coronary artery disease.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Catheterization
Computed Tomography Angiography*
Coronary Angiography
Coronary Artery Disease* / diagnostic imaging
Coronary Artery Disease* / therapy
Humans
Laboratories
Predictive Value of Tests
Tomography, X-Ray Computed