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Current Cardiovascular Imaging Reports
Published in: Current Cardiovascular Imaging Reports 11/2016

01-11-2016 | Spotlight on CT Imaging (T Schindler, Section Editor)

Current and Future Applications of Coronary CT Angiography with and Without FFR in the Emergency Room

Authors: Alan Ropp, Charles White

Published in: Current Cardiovascular Imaging Reports | Issue 11/2016

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Abstract

Purpose of Review

Multiple clinical trials have established the value of Coronary CT angiography (CCTA) for the evaluation of patients presenting to the ED with chest pain and a low to intermediate risk for acute coronary syndrome (ACS). CCTA can be used to evaluate these patients rapidly, effectively, and with relatively low cost and radiation dose.

Recent Findings

New research continues to accumulate, and despite much evidence to support its use in the ED setting, at least one recently published study has presented potentially contradictory results. Additionally, newer techniques that enhance the utility of CCTA, such as fractional flow reserve (FFR) and CT perfusion analysis have been developed and are becoming increasingly available. These applications provide important information about the hemodynamic significance of coronary lesions and are potentially useful in the ED setting to aid clinical decision making.

Summary

This review provides an update on the literature related to the use of CCTA in the ED, including a discussion of emerging advanced cardiac CT applications.
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Metadata
Title
Current and Future Applications of Coronary CT Angiography with and Without FFR in the Emergency Room
Authors
Alan Ropp
Charles White
Publication date
01-11-2016
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 11/2016
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-016-9391-z

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