Non-invasive fractional flow reserve (FFRCT) in the evaluation of acute chest pain: concepts and first experiences
Objective - To evaluate 30 day rate of major adverse cardiac events (MACE) utilizing cCTA and FFRCT for evaluation of patients presenting to the Emergency Department (ED) with acute chest pain. - Materials and methods - Patients between the ages of 18-95 years who underwent clinically indicated cCTA...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
May 2021
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| In: |
European journal of radiology
Year: 2021, Volume: 138, Pages: 1-6 |
| ISSN: | 1872-7727 |
| DOI: | 10.1016/j.ejrad.2021.109633 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejrad.2021.109633 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0720048X21001133 
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| Author Notes: | Andreas M. Fischer, Marly van Assen, U. Joseph Schoepf, Andrew J. Matuskowitz, Akos Varga-Szemes, Joseph W. Golden, Dante A. Giovagnoli, Christian Tesche, Richard R. Bayer II |
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| 245 | 1 | 0 | |a Non-invasive fractional flow reserve (FFRCT) in the evaluation of acute chest pain |b concepts and first experiences |c Andreas M. Fischer, Marly van Assen, U. Joseph Schoepf, Andrew J. Matuskowitz, Akos Varga-Szemes, Joseph W. Golden, Dante A. Giovagnoli, Christian Tesche, Richard R. Bayer II |
| 246 | 3 | 3 | |a Non-invasive fractional flow reserve (FFR CT) in the evaluation of acute chest pain |
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| 520 | |a Objective - To evaluate 30 day rate of major adverse cardiac events (MACE) utilizing cCTA and FFRCT for evaluation of patients presenting to the Emergency Department (ED) with acute chest pain. - Materials and methods - Patients between the ages of 18-95 years who underwent clinically indicated cCTA and FFRCT in the evaluation of acute chest pain in the emergency department were retrospectively evaluated for 30 day MACE, repeat presentation/admission for chest pain, revascularization, and additional testing. - Results - A total of 59 patients underwent CCTA and subsequent FFRCT for the evaluation of acute chest pain in the ED over the enrollment period. 32 out of 59 patients (54 %) had negative FFRCT (>0.80) out of whom 18 patients (55 %) were discharged from the ED. Out of the 32 patients without functionally significant CAD by FFRCT, 32 patients (100 %) underwent no revascularization and 32 patients (100 %) had no MACE at the 30-day follow-up period. - Conclusion - In this limited retrospective study, patients presenting to the ED with acute chest pain and with CCTA with subsequent FFRCT of >0.8 had no MACE at 30 days; however, for many of these patients results were not available at time of clinical decision making by the ED physician. | ||
| 650 | 4 | |a Coronary computed tomography angiography | |
| 650 | 4 | |a Fractional flow reserve | |
| 650 | 4 | |a Outcome | |
| 700 | 1 | |a van Assen, Marly |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schoepf, U. Joseph |e VerfasserIn |4 aut | |
| 700 | 1 | |a Matuskowitz, Andrew J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Varga-Szemes, Akos |e VerfasserIn |4 aut | |
| 700 | 1 | |a Golden, Joseph W. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Giovagnoli, Dante A. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tesche, Christian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bayer, Richard R. |e VerfasserIn |4 aut | |
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