Erschienen in:
12.11.2015 | Case Report
Accuracy and usefulness of noninvasive fractional flow reserve from computed tomographic coronary angiography: comparison with myocardial perfusion imaging, echocardiographic coronary flow reserve, and invasive fractional flow reserve
verfasst von:
Eiji Taguchi, Koichi Nakao, Kyoko Hirakawa, Takashi Fukunaga, Shinzo Miyamoto, Tomohiro Sakamoto
Erschienen in:
Cardiovascular Intervention and Therapeutics
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Ausgabe 1/2017
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Abstract
We present a case of coronary artery disease with intermediate stenosis in the proximal left anterior descending artery, which was evaluated using multiple functional modalities. FFRCT demonstrated a significant perfusion abnormality in the LAD, and the value of FFRCT (0.68) was similar to the value measured by invasive FFR (0.67). However, the other modalities gave discrepant results. In particular, perfusion scintigraphy with thallium showed no evidence of an inducible perfusion abnormality in the LAD territory. The patient was treated by PCI for two tandem lesions in the LAD. FFRCT may have potential as a default noninvasive method for assessment of coronary anatomy and physiology.