Coronary CTA for Preoperative Risk Assessment in Noncardiac Surgery

  • Gary R. SmallEmail author
  • Jaclyn Ernst
  • Nadine Gauthier
  • Benjamin J. W. Chow
Cardiac Computed Tomography (M Cheezum and B Chow, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Cardiac Computed Tomography


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.


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.


Coronary CT angiography Preoperative assessment Noncardiac surgery 


Compliance with Ethical Standards

All reported studies/experiments with humans or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines.

Conflict of Interest

Benjamin JW Chow reports grants from CV Diagnostix, other from GE, and non-financial support from TeraRecon, outside the submitted work. The other authors do not have any conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Gary R. Small
    • 1
    Email author
  • Jaclyn Ernst
    • 2
  • Nadine Gauthier
    • 3
  • Benjamin J. W. Chow
    • 1
  1. 1.University of Ottawa Heart Institute Division of CardiologyOttawaCanada
  2. 2.The Ottawa Hospitals Department of MedicineOttawaCanada
  3. 3.The Ottawa Hospitals Department of CardiologyOttawaCanada

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