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Current Cardiovascular Imaging Reports

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01-09-2018 | Cardiac Computed Tomography (M Cheezum and B Chow, Section Editors)

Coronary CTA for Preoperative Risk Assessment in Noncardiac Surgery

Authors: Gary R. Small, Jaclyn Ernst, Nadine Gauthier, Benjamin J. W. Chow

Published in: Current Cardiovascular Imaging Reports | Issue 9/2018

Abstract

Purpose of the Review

Risk assessment for ischemic cardiac complications post noncardiac surgery is not an exact science. This often prompts physicians to order investigations for further risk stratification. As a diagnostic text coronary CT angiography (CCTA)* could prove to be a useful adjunct in preoperative risk assessment and its utility in this setting will be considered.

Recent Findings

CCTA has been used to assess preoperative risk in several clinical studies, including the recent CTA VISION trial. CTA VISION suggested, in the cohort examined, that CCTA could lead to an exaggeration of preoperative risk. Whether this is true in other populations will be considered.

Summary

In this review, the results from CTA VISION and the recently published Canadian Cardiovascular Society guidelines will be considered in the context of previous literature and current international guidelines.

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Title: Coronary CTA for Preoperative Risk Assessment in Noncardiac Surgery
Authors: Gary R. Small
Jaclyn Ernst
Nadine Gauthier
Benjamin J. W. Chow
Publication date: 01-09-2018
Publisher: Springer US
Published in: Current Cardiovascular Imaging Reports / Issue 9/2018
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI: https://doi.org/10.1007/s12410-018-9461-5

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