Does the Routine Availability of CT–Derived FFR Influence Management of Patients With Stable Chest Pain Compared to CT Angiography Alone?
Why the study?
Does the addition of FFRCT to CTA alone change the management plan in patients with stable chest pain?
Population
200 patients with stable chest pain who underwent computed tomography angiography (CTA) for clinical reasons
Comparison
Addition of computed tomography-derived… vs Computed tomography angiography (CTA) alone
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
May reclassify management in stable chest pain; leaves open effects on outcomes.
Structured PICO
Does the addition of FFRCT to CTA alone change the management plan in patients with stable chest pain?
P
Population
200 patients with stable chest pain who underwent computed tomography angiography (CTA) for clinical reasons
I
Intervention
Addition of computed tomography-derived fractional flow reserve (FFRCT) data to CTA
C
Comparator
Computed tomography angiography (CTA) alone
O
Outcome
Difference in allocated management category (optimal medical therapy, percutaneous coronary intervention, coronary artery bypass graft surgery, or more information required) between the two strategiessurrogate
The addition of FFRCT to standard CTA significantly alters the clinical management plan in over a third of patients with stable chest pain by reclassifying lesion severity.
Cite This Study
Nolan et al. (2016) studied this question.