Читать книгу Interventional Cardiology - Группа авторов - Страница 262

Bifurcation and ostial lesions are notoriously difficult to evaluate on ICA due to projectional foreshortening and vessel overlap. CCTA has shown promise in the evaluation of side branches and ostial lesions. Van Mieghem et al. [25] found that CCTA had high sensitivity, specificity and NPV for the detection and classification of bifurcation lesions when compared to ICA. CTA‐guided PCI led to the increased use of single stent procedures with less frequent 2‐stent overlap and less stenting of the side branch in another study [26]. CTA was even shown to outperform the current Medina classification and RESOLVE angiographic scoring system in predicting intraprocedural side branch occlusion [27].