Non-invasive fractional flow reserve (FFRCT) in the evaluation of acute chest pain

• Verfasst von: Fischer, Andreas [VerfasserIn]
• Verfasst von: van Assen, Marly [VerfasserIn]
• Verfasst von: Schoepf, U. Joseph [VerfasserIn]
• Verfasst von: Matuskowitz, Andrew J. [VerfasserIn]
• Verfasst von: Varga-Szemes, Akos [VerfasserIn]
• Verfasst von: Golden, Joseph W. [VerfasserIn]
• Verfasst von: Giovagnoli, Dante A. [VerfasserIn]
• Verfasst von: Tesche, Christian [VerfasserIn]
• Verfasst von: Bayer, Richard R. [VerfasserIn]
• Titel: Non-invasive fractional flow reserve (FFRCT) in the evaluation of acute chest pain
• Titelzusatz: concepts and first experiences
• Verf.angabe: 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
• E-Jahr: 2021
• Jahr: May 2021
• Umfang: 6 S.
• Fussnoten: Im Text ist "CT" tiefgestellt ; Gesehen am 20.10.2021
• Titel Quelle: Enthalten in: European journal of radiology
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1990
• Jahr Quelle: 2021
• Band/Heft Quelle: 138(2021) vom: Mai, Artikel-ID 109633, Seite 1-6
• ISSN Quelle: 1872-7727
• DOI: doi:10.1016/j.ejrad.2021.109633
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Coronary computed tomography angiography
• Sach-SW: Fractional flow reserve
• Sach-SW: Outcome
• K10plus-PPN: 1774578344

Abstract

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.