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Karanasos A, Korosoglou G. Editorial: Optimizing cardiovascular imaging for unusual clinical scenarios: a case-based approach. Front Cardiovasc Med 2025; 12:1615228. [PMID: 40438234 PMCID: PMC12116608 DOI: 10.3389/fcvm.2025.1615228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2025] [Accepted: 04/25/2025] [Indexed: 06/01/2025] Open
Affiliation(s)
| | - Grigorios Korosoglou
- Department of Cardiology, Vascular Medicine and Pneumology, GRN Hospital Weinheim, Weinheim, Germany
- Cardiac Imaging Center Weinheim, Hector Foundation, Weinheim, Germany
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Sandoval Y, Leipsic J, Collet C, Ali ZA, Azzalini L, Barbato E, Cavalcante JL, Costa RA, Garcia-Garcia HM, Jones DA, Khoo JK, Maran A, Nieman K, Pinilla-Echeverri N, Seto AH, Shlofmitz E, Brilakis ES. Coronary computed tomography angiography to guide percutaneous coronary intervention: Expert opinion from a SCAI/SCCT roundtable. J Cardiovasc Comput Tomogr 2025:S1934-5925(25)00088-7. [PMID: 40360362 DOI: 10.1016/j.jcct.2025.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/15/2025]
Abstract
Coronary computed tomography angiography (CCTA) has emerged as an important tool for planning percutaneous coronary intervention (PCI). While it has traditionally been employed for diagnostic purposes, increasing evidence and real-world experience suggest that CCTA can be used for the pre-procedural planning of PCI and inform patient triage, shared decision-making, case complexity, and resource use. This approach mirrors how computed tomography angiography is routinely used to plan structural interventions. To address these emerging opportunities, the Society for Cardiovascular Angiography & Interventions (SCAI) and the Society of Cardiovascular Computed Tomography (SCCT) organized a multidisciplinary, expert scientific roundtable on the use of CCTA for guiding PCI. The goal of this document is to provide a state-of-the-art overview of CCTA-guided PCI, focused on practical applications and key coronary lesion subsets, define unmet needs and barriers, and outline future directions.
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Affiliation(s)
- Yader Sandoval
- Allina Health Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA; Center for Coronary Artery Disease, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
| | - Jonathon Leipsic
- Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Carlos Collet
- Cardiovascular Center Aalst, OLV Clinic, Aalst, Belgium
| | - Ziad A Ali
- Department of Cardiology, St. Francis Hospital, Roslyn, NY, USA; New York Institute of Technology, Old Westbury, NY, USA
| | - Lorenzo Azzalini
- Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, USA
| | - Emanuele Barbato
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy; Cardiology Unit, Sant'Andrea University Hospital, Rome, Italy
| | - João L Cavalcante
- Allina Health Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA; Cardiovascular Imaging Core Lab and Research Center, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA
| | - Ricardo A Costa
- Department of Invasive Cardiology, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Hector M Garcia-Garcia
- Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA
| | - Daniel A Jones
- Centre for Cardiovascular Medicine and Devices, Queen Mary University of London, London, UK
| | - John K Khoo
- Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Anbukarasi Maran
- Division of Cardiology, Medical University of South Carolina, Charleston, SC, USA
| | - Koen Nieman
- Stanford University School of Medicine and Cardiovascular Institute, Stanford, CA, USA
| | | | - Arnold H Seto
- Long Beach VA Health Care System, Long Beach, CA, USA
| | - Evan Shlofmitz
- Department of Cardiology, St. Francis Hospital, Roslyn, NY, USA
| | - Emmanouil S Brilakis
- Allina Health Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA; Center for Coronary Artery Disease, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA
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Sandoval Y, Leipsic JA, Collet C, Ali ZA, Azzalini L, Barbato E, Cavalcante JL, Costa RA, Garcia-Garcia HM, Jones DA, Khoo JK, Maran A, Nieman K, Pinilla-Echeverri N, Seto AH, Shlofmitz E, Brilakis ES. Coronary Computed Tomography Angiography to Guide Percutaneous Coronary Intervention: Expert Opinion from a SCAI/SCCT Roundtable. JOURNAL OF THE SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS 2025:103664. [DOI: 10.1016/j.jscai.2025.103664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2025]
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McFarlane R, Jones DA, Berry C. CCTA to Routinely Guide Invasive Management in Patients With CABG: Over-Testing or Essential? Circ Cardiovasc Interv 2024; 17:e014605. [PMID: 39286900 DOI: 10.1161/circinterventions.124.014605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/19/2024]
Affiliation(s)
- Richard McFarlane
- West of Scotland Heart and Lung Centre, National Health Service Golden Jubilee National Hospital, Glasgow, United Kingdom (R.M., C.B.)
- British Heart Foundation Glasgow Cardiovascular Research Centre, School of Cardiovascular and Metabolic Health, University of Glasgow, United Kingdom (R.M., C.B.)
| | - Daniel A Jones
- Centre for Cardiovascular Medicine and Devices, Faculty of Medicine and Dentistry and National Institute for Health and Care Research Barts Biomedical Research Centre, Queen Mary University of London, United Kingdom (D.A.J.)
- Barts Interventional Group, Barts Heart Centre, Barts Health National Health Service Trust, London, United Kingdom (D.A.J.)
| | - Colin Berry
- West of Scotland Heart and Lung Centre, National Health Service Golden Jubilee National Hospital, Glasgow, United Kingdom (R.M., C.B.)
- British Heart Foundation Glasgow Cardiovascular Research Centre, School of Cardiovascular and Metabolic Health, University of Glasgow, United Kingdom (R.M., C.B.)
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