Coronary CTA was performed with electrocardiographic-gated prospective or retrospective gating on ≥64 detector row scanners (
Siemens Sensation Cardiac 64, Siemens Medical Solutions, Malvern, Pennsylvania, PA, USA;
Discovery HD 750, GE Healthcare, Milwaukee, Wisconsin, WI, USA;
Revolution CT 256-row, GE Healthcare, Milwaukee, Wisconsin, WI, USA) in accordance with the Society of Cardiovascular Computed Tomography (SCCT) guidelines [22 (
link)]. Oral, and, when needed, intravenous, beta-blocker was administered to achieve a target heart rate (HR) of 60 bpm. Sublingual nitroglycerin 0.4–0.8 mg was given approximately 5 min prior to contrast administration. CTA datasets were interpreted using a commercially available dedicated workstation (
Aquarius 3D Workstation, TeraRecon, San Mateo, CA, USA). Lesions with 30–90% diameter of stenosis were considered of indeterminate hemodynamic significance. Subtotal and total occlusions were classified as ≥90% and 100%, respectively. A coronary lesion with ≥50% diameter of stenosis was considered obstructive on coronary CTA alone. Coronary vessel branches for the left anterior descending, left circumflex, and right coronary arteries were categorized according to the SCCT guidelines [23 (
link)].
Rabbat M., Leipsic J., Bax J., Kauh B., Verma R., Doukas D., Allen S., Pontone G., Wilber D., Mathew V., Rogers C, & Lopez J. (2020). Fractional Flow Reserve Derived from Coronary Computed Tomography Angiography Safely Defers Invasive Coronary Angiography in Patients with Stable Coronary Artery Disease. Journal of Clinical Medicine, 9(2), 604.