Impact of coronary computed tomography angiography on patient triage strategies
- VernacularTitle:冠脉CT对冠心病治疗策略的影响
- Author:
Jingjing GAI
1
;
Xue ZHAI
;
Qicai BAI
;
Zhiguo WANG
;
Bo JIANG
;
Qi WANG
;
Li YANG
;
Luyue GAI
Author Information
1. 解放军总医院心血管内科
- Keywords:
coronary computed tomography angiography;
coronary angiography;
percutaneous coronary intervention
- From:
Journal of Southern Medical University
2014;(1):56-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the triaging pathways of patients after coronary computed tomography angiography (CCTA). Methods The patients undergoing CCTA were enrolled consecutively during the period from March 3, 2008 to June 23, 2009. The rate of coronary angiography (CAG) examinations after CCTA was calculated. The rates of normal CAG, medication, percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) were compared between CCTA and direct CAG cohorts. Results A total of 8030 cases receiving CCTA and 3260 receiving direct CAG were included in the study. The CCTA patients had significantly fewer risk factors than those having direct CAG. Of the 8030 patients undergoing CCTA, 953 (12.03%) received further CAG and 6977 (87.97%) did not. Of the patients who received CAG after CCTA, 35 (3.7%) had normal CAG findings, 604 (63.4%) underwent PCI, 108 (11.3%) received conservative treatment with medications, and 206 (21.6%) underwent CABG. In the 3260 patients directly undergoing CAG, 706 (52.3%) underwent subsequent PCI, 142(4.4%) underwent CABG, 815(25.1%) received medications, and 579 (17.9%) had normal CAG findings. Comparison between the cases receiving direct CAG and CAG after CCTA showed that CCTA resulted in a significant increase in the revascularization rate (P<0.0001). Conclusion CCTA can help prevent unnecessary CAG and allows more accurate patient triage.
