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Combining noninvasive anatomical imaging with invasive functional information: an unconventional but appropriate hybrid approach

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Abstract

CT coronary angiography (CTCA) allows accurate noninvasive imaging of the coronary arteries. As illustrated by this case report, the threedimensional information provided by this technique might be of value to resolve complex coronary pathology encountered in the cathlab. However, the limitations inherent to an anatomical test also apply for CTCA, and bring in the need for functional information to ensure adequate patient management. (Neth Heart J 2009;17:292–4.)

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References

  1. Meijboom WB, van Mieghem CA, Mollet NR, Pugliese F, Weustink AC, van Pelt N, et al. 64-slice computed tomography coronary angiography in patients with high, intermediate, or low pretest probability of significant coronary artery disease. J Am Coll Cardiol 2007;50:1469–75.

    Google Scholar 

  2. Stary HC. Natural history and histological classification of atherosclerotic lesions: an update. Arterioscler Thromb Vasc Biol 2000;20: 1177–8.

    Google Scholar 

  3. Mollet NR, Hoye A, Lemos PA, Cademartiri F, Sianos G, McFadden EP, et al. Value of preprocedure multislice computed tomographic coronary angiography to predict the outcome of percutaneous recanalization of chronic total occlusions. Am J Cardiol 2005;95:240–3.

    Google Scholar 

  4. Van Mieghem CA, Thury A, Meijboom WB, Cademartiri F, Mollet NR, Weustink AC, et al. Detection and characterization of coronary bifurcation lesions with 64-slice computed tomography coronary angiography. Eur Heart J 2007;28:1968–76.

    Google Scholar 

  5. Bartunek J, Sys SU, Heyndrickx GR, Pijls NH, De Bruyne B. Quantitative coronary angiography in predicting functional significance of stenoses in an unselected patient cohort. J Am Coll Cardiol 1995;26:328–34.

    Google Scholar 

  6. Schuijf JD, Wijns W, Jukema JW, Atsma DE, de Roos A, Lamb HJ, et al. Relationship between noninvasive coronary angiography with multi-slice computed tomography and myocardial perfusion imaging. J Am Coll Cardiol 2006;48:2508–14.

    Google Scholar 

  7. Meijboom WB, Van Mieghem CA, van Pelt N, Weustink A, Pugliese F, Mollet NR, et al. Comprehensive assessment of coronary artery stenoses: computed tomography coronary angiography versus conventional coronary angiography and correlation with fractional flow reserve in patients with stable angina. J Am Coll Cardiol 2008;52:636–43.

    Google Scholar 

  8. Shaw LJ, Berman DS, Maron DJ, Mancini GB, Hayes SW, Hartigan PM, et al. Optimal medical therapy with or without percutaneous coronary intervention to reduce ischemic burden: results from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial nuclear substudy. Circulation 2008;117:1283–91.

    Google Scholar 

  9. Gaemperli O, Schepis T, Valenta I, Koepfli P, Husmann L, Scheffel H, et al. Functionally relevant coronary artery disease: comparison of 64-section CT angiography with myocardial perfusion SPECT. Radiology 2008;248:414–23.

    Google Scholar 

  10. Husmann L, Herzog BA, Gaemperli O, Tatsugami F, Burkhard N, Valenta I, et al. Diagnostic accuracy of computed tomography coronary angiography and evaluation of stress-only single-photon emission computed tomography/computed tomography hybrid imaging: comparison of prospective electrocardiogram-triggering vs. retrospective gating. Eur Heart J 2009;30:600–7.

    Google Scholar 

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Correspondence to C. A. G. van Mieghem.

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Departments of Cardiology and Radiology, Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands

C.A.G. Van Mieghem Departments of Cardiology and Radiology, Room Hs 207, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, the Netherlands

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van Mieghem, C.A.G., de Feyter, P.J. Combining noninvasive anatomical imaging with invasive functional information: an unconventional but appropriate hybrid approach. NHJL 17, 292–294 (2009). https://doi.org/10.1007/BF03086269

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  • DOI: https://doi.org/10.1007/BF03086269

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