Applications of multislice coronary computed tomographic angiography to percutaneous coronary intervention: How did we ever do without It?

By providing data previously available only by intravascular ultrasound, 64‐slice multidetector computed tomographic angiography (CTA) will impact percutaneous coronary intervention (PCI) in multiple areas: (1) pre‐PCI patient selection; (2) identification of significant lesions; (3) in‐stent restenosis; (4) procedure planning: stent sizing, choice of intervention, and equipment, chronic total occlusions, 3D‐CTA in the catheterization laboratory; (5) plaque evaluation and identification of high‐risk lesions; (6) postcatheterization decisions, and (7) structural heart disease. The likely outcome is transformation of the catheterization laboratory into a streamlined interventional suite, utilizing on‐line CTA data in an interactive format. © 2008 Wiley‐Liss, Inc.

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