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Coronary computed tomography angiography to guide percutaneous coronary intervention: Expert opinion from a SCAI/SCCT
Yader Sandoval1, Jonathon Leipsic2, Carlos Collet3
1Allina Health Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA; Center for Coronary Artery Disease, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
None:
Coronary computed tomography angiography (CCTA) has emerged as an important tool for planning percutaneous coronary intervention (PCI). While it has traditionally been employed for diagnostic purposes, increasing evidence and real-world experience suggest that CCTA can be used for the pre-procedural planning of PCI and inform patient triage, shared decision-making, case complexity, and resource use. This approach mirrors how computed tomography angiography is routinely used to plan structural interventions. To address these emerging opportunities, the Society for Cardiovascular Angiography & Interventions (SCAI) and the Society of Cardiovascular Computed Tomography (SCCT) organized a multidisciplinary, expert scientific roundtable on the use of CCTA for guiding PCI. The goal of this document is to provide a state-of-the-art overview of CCTA-guided PCI, focused on practical applications and key coronary lesion subsets, define unmet needs and barriers, and outline future directions.
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