Implementing Coronary Computed Tomography Angiography in the Catheterization Laboratory

JACC Cardiovasc Imaging. 2021 Sep;14(9):1846-1855. doi: 10.1016/j.jcmg.2020.07.048. Epub 2020 Nov 25.


Coronary computed tomography angiography (CCTA) is now an established tool in the diagnostic work-up of patients suspected to have coronary artery disease. Yet, its usefulness beyond this phase has not been fully explored. The current review focuses on the implementation of CCTA as a tool to plan and guide coronary interventions in the catheterization laboratory. Specifically, we explore the potential of CCTA to improve patient selection for percutaneous revascularization, provide the rationale for better resource use, and present a novel approach to incorporate 3-dimensional CT guidance for percutaneous coronary interventions.

Keywords: CT-guided PCI; cath lab; conventional angiography; coronary artery disease.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Catheterization
  • Computed Tomography Angiography*
  • Coronary Angiography
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Artery Disease* / therapy
  • Humans
  • Laboratories
  • Predictive Value of Tests
  • Tomography, X-Ray Computed