Dwivedi Aeshita, Al'Aref Subhi J, Lin Fay Y, Min James K
Dalio Institute of Cardiovascular Imaging, NewYork-Presbyterian Hospital, New York, NY, USA.
Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Korean Circ J. 2018 Feb;48(2):124-133. doi: 10.4070/kcj.2017.0392.
Coronary artery disease (CAD) is the leading cause of morbidity and mortality worldwide. Over the last decade coronary computed tomography angiography (CCTA) has gained wide acceptance as a reliable, cost-effective and non-invasive modality for diagnosis and prognostication of CAD. Use of CCTA is now expanding to characterization of plaque morphology and identification of vulnerable plaque. Additionally, CCTA is developing as a non-invasive modality to monitor plaque progression, which holds future potential in individualizing treatment. In this review, we discuss the role of CCTA in diagnosis and management of CAD. Additionally, we discuss the recent advancements and the potential clinical applications of CCTA in management of CAD.
冠状动脉疾病(CAD)是全球发病和死亡的主要原因。在过去十年中,冠状动脉计算机断层扫描血管造影(CCTA)作为一种用于CAD诊断和预后评估的可靠、经济高效且无创的检查方法,已获得广泛认可。目前,CCTA的应用正在扩展到斑块形态特征的描述以及易损斑块的识别。此外,CCTA正在发展成为一种监测斑块进展的无创检查方法,这在个体化治疗方面具有未来潜力。在本综述中,我们讨论了CCTA在CAD诊断和管理中的作用。此外,我们还讨论了CCTA在CAD管理方面的最新进展和潜在临床应用。