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Coronary CT Angiography as the Gatekeeper to the Cath Lab: Where Are We?

  • Christoph ArtznerEmail author
  • Lynne M. Hurwitz
  • Fabian Bamberg
Chapter
Part of the Contemporary Medical Imaging book series (CMI)

Abstract

Accounting for the excellent negative predictive value of CCTA for CTA, it has been a long-standing goal to utilize it as a gatekeeper for invasive coronary angiography to utilize resources more efficiently and further reduce patient’s treatment burden. However, this idea is not supported by available scientific evidence in prospective, multicenter studies contradicting numerous case reports and single-center observations. This scientific evidence will be challenged by the CONSERVE (Coronary Computed Tomographic Angiography for Selective Cardiac Catheterization) trial (NCT01810198), which is directly testing the concept of CCTA as a gatekeeper to ICA.

Keywords

Coronary CT angiography Cath lab Coronary disease detection Predictive value of coronary CT angiography Sensitivity and specificity in coronary CT angiography 

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Copyright information

© Humana Press 2019

Authors and Affiliations

  • Christoph Artzner
    • 1
    • 2
    Email author
  • Lynne M. Hurwitz
    • 1
  • Fabian Bamberg
    • 2
  1. 1.Department of RadiologyDuke University Medical CenterDurhamUSA
  2. 2.Department of Diagnostic and Interventional RadiologyUniversity of TuebingenTubingenGermany

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