Multislice spiral computed tomographic angiography of coronary arteries in patients with suspected coronary artery disease: an effective filter before catheter angiography?

Background: Despite impressive image quality, it is unclear if noninvasive coronary angiography with multislice spiral computed tomography (CT) is powerful enough to act as a filter before invasive angiography (INV-A) in symptomatic patients.

Methods And Results: We therefore studied 133 consecutive symptomatic patients with suspected coronary artery disease (CAD) and an indication for INV-A (chest pain and signs of ischemia in conventional stress tests). Patients with known CAD, acute coronary syndrome, or a calcium volume score >1000 were excluded.

[Invasive versus noninvasive (MSCT) coronary angiography. Importance of cardiac diagnostics with multislice computed tomography].

Cardiac imaging with fast computed tomography (CT) is a quickly evolving field starting to become established in the cardiac routine work-up. The exclusion of coronary calcification is the most accurate noninvasive method to exclude significant coronary stenosis whereas the detection of calcification identifies coronary arteriosclerosis. The total calcium load correlates with the risk of coronary stenosis, but there is not a 1 : 1 relationship.