Coronary plaque burden and computed tomography-derived fractional flow reserve are predictors of 5-year mortality in peripheral artery disease patients with no known coronary artery disease

Objective: in predicting 5-year mortality in patients with vascular surgery with no known CAD. Methods: < 0.75. CT-QPA analysis provided quantitative data on total plaque volume (TPV) and plaque characteristics. Vascular surgery was performed on all patients with no perioperative mortality. Postoperatively, all patients received guideline-directed medical therapy with no elective coronary revascularization. The primary endpoint was all-cause death at 5 years, assessed by Cox regression analysis. Conclusions: were predictors of a 5-year mortality. Coronary CTA with quantitative plaque and FFR analysis should be considered for comprehensive cardiac risk stratification in patients with vascular surgery, regardless of cardiac symptoms.