Discordance between Invasive and Non-Invasive Coronary Angiography: An In-Depth Functional and Anatomical Analysis.

ABSTRACT: A 79-year-old male with chronic coronary syndrome with complex coronary artery disease was included in the first-in-man trial of surgical revascularization guided solely by coronary computed tomography angiography (CCTA) and fractional flow reserve derived from CCTA (FFR_CT). In CCTA analysis, the patient had calcified three-vessel disease, with a global anatomical SYNTAX score of 27. In contrast, in the initial FFR_CT, only the ramus intermediate stenosis was physiologically significant, with no other vessels having an FFR_CT ≤ 0.80 (functional SYNTAX score of 2). Discordance between the results of the CCTA and FFR_CT necessitated an in-depth analysis by using both invasive and non-invasive coronary angiography. Angiography-derived fractional flow r

SUBMITTER: Kageyama S 

PROVIDER: S-EPMC10045446 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature