Open AccessComputed Tomography-Derived Fractional Flow Reserve for the Diagnosis of Coronary Artery Disease
Author(s) -
Yi-Sheng Chao,
Jennifer Horton
Publication year - 2021
Publication title -
canadian journal of health technologies
Language(s) - English
Resource type - Journals
ISSN - 2563-6596
DOI - 10.51731/cjht.2021.196
Subject(s) - fractional flow reserve , medicine , chest pain , coronary artery disease , revascularization , cardiology , stenosis , radiology , stress testing (software) , computed tomography angiography , coronary angiography , limiting , computed tomography , myocardial infarction , mechanical engineering , computer science , engineering , programming language
Computed tomography-derived fractional flow reserve (CT-FFR) may predict coronary artery disease or flow-limiting stenosis in adult patients with stable chest pain better than coronary CT angiography alone, based on the relevant studies in 2 systematic reviews.
CT-FFR is associated with a decreased need for invasive coronary angiography and revascularization in adult patients with stable chest pain, based on findings from 1 systematic review.
In the US settings, CT-FFR was dominant (i.e., less costly and more effective) compared to stress testing for the evaluation of low-risk stable chest pain, based on findings from 1 cost-effectiveness study.