Documento di consenso ANMCO/GISE/SICOA: Ruolo dell’angio-tomografia computerizzata coronarica nelle sindromi coronariche croniche
Chronic coronary syndromes (CCS) are the most common clinical manifestation of coronary atherosclerosis. Coronary computed tomography angiography (CCTA) is a recent innovation in non-invasive cardiac imaging. It is the only anatomical imaging method that allows direct visualization of the coronary lumen, vessel walls, and atherosclerotic plaques, offering high sensitivity and a strong negative predictive value. CCTA is particularly useful in identifying or ruling out coronary atherosclerosis in the context of CCS and serves as an excellent filter for invasive coronary angiography. Compared to other non-invasive functional imaging tests (stress echocardiography, single photon emission computed tomography, magnetic resonance imaging, positron emission tomography), CCTA provides detailed characterization of both obstructive and non-obstructive plaques, enabling accurate risk stratification and guiding therapy. Recent advances in computed tomography technology and imaging techniques further extend the use of CCTA beyond plaque and stenosis evaluation, offering also functional lesion information. This consensus document aims to detail the technical aspects of CCTA and illustrate its role in optimizing CCS diagnostic and therapeutic management, enhancing precision medicine and personalized patient care.
Authors
- Alessandra Scatteia (ORCID: https://orcid.org/0000-0003-4030-1126)
- Alessandro Navazio (ORCID: https://orcid.org/0000-0001-8417-7783)
- Massimo Grimaldi (ORCID: https://orcid.org/0000-0002-9347-8884)
- Salvatore A. Giordano (ORCID: https://orcid.org/0000-0001-5981-6870)
- Giancarlo Casolo (ORCID: https://orcid.org/0000-0003-3094-9391)
- Fabrizio Oliva
- Simona Pierini (ORCID: https://orcid.org/0000-0003-1595-6681)
- Francesco Varchetta (ORCID: https://orcid.org/0000-0001-9015-5046)
- Francesco Caiazza (ORCID: https://orcid.org/0000-0003-4228-1130)
- Daniela Trabattoni (ORCID: https://orcid.org/0000-0002-6319-4119)
- Alfredo Marchese (ORCID: https://orcid.org/0000-0002-3445-0865)
- Salvatore De Rosa (ORCID: https://orcid.org/0000-0001-5388-942X)
- Laura Adelaide Dalla Vecchia (ORCID: https://orcid.org/0000-0002-6516-0959)
- Claudio Bilato (ORCID: https://orcid.org/0000-0003-3474-0579)
- Angelo Silverio (ORCID: https://orcid.org/0000-0001-9749-8092)
- Edoardo Conte (ORCID: https://orcid.org/0000-0003-1443-5788)
- Roberto F.E. Pedretti (ORCID: https://orcid.org/0000-0003-1789-8657)
- Santo Dellegrottaglie (ORCID: https://orcid.org/0000-0001-7153-4040)
- Furio Colivicchi (ORCID: https://orcid.org/0000-0001-7187-2234)
- Tiziana Attisano (ORCID: https://orcid.org/0000-0002-2864-2756)
- Raffaele Piccolo (ORCID: https://orcid.org/0000-0002-3124-9912)
- Andrea Tuccillo (ORCID: https://orcid.org/0000-0003-2492-3224)
- Leonardo De Luca (ORCID: https://orcid.org/0000-0002-8552-1272)
- Damiano Regazzoli (ORCID: https://orcid.org/0000-0003-3845-9178)
- Giovanna Geraci (ORCID: https://orcid.org/0000-0003-0092-8717)
- Pasquale Guarini
- Giovanni Esposito (ORCID: https://orcid.org/0000-0003-0565-7127)
- Carmine Musto (ORCID: https://orcid.org/0000-0001-9942-9162)
- Francesco Saia (ORCID: https://orcid.org/0000-0001-9969-2649)
- Alberto Menozzi (ORCID: https://orcid.org/0000-0001-9219-9018)
- Pasquale Campana (ORCID: https://orcid.org/0000-0002-5011-1193)
- Giuseppe Russo
- Francesco De Stefano
- Mattia Silvestre
- Massimo Milli (ORCID: https://orcid.org/0000-0003-4811-6224)
- Carlo Tedeschi
- Dario Catapano (ORCID: https://orcid.org/0009-0003-4015-3503)
Institutions
- Synlab Czech (Czechia) (CZ)
- University of Salerno (IT)
- Regione Campania (IT)
- Foundation Center (US)
- Magna Graecia University (IT)
- Centro Cardiologico Monzino (IT)
- Milano Metropoli Development Agency (IT)
- Istituti Clinici Scientifici Maugeri (IT)
- Società Italiana di Cardiologia (IT)
- MultiMedica (IT)
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- Associazione Nazionale Medici Cardiologi Ospedalieri (IT)
- AULSS 2 Marca Trevigiana (IT)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- Ospedale San Filippo Neri (IT)
- Istituto Clinico Sant'Ambrogio (IT)
- Azienda Sanitaria di Firenze (IT)
- Nuovo Ospedale San Giovanni di Dio (IT)
- Ospedale Sant Antonio (IT)
- Clínica Santa María (CO)
- Presidio Ospedaliero (IT)
- Azienda Ospedaliera S.Maria (IT)
- Azienda Ospedaliera Sant'Andrea (IT)
- University of Campania "Luigi Vanvitelli" (IT)
- Azienda Ospedaliera Universitaria Università degli Studi della Campania Luigi Vanvitelli (IT)
- IRCCS San Camillo Hospital (IT)
- Villa Pineta Hospital (IT)
- Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona (IT)
- Nini Hospital (LB)
- Ospedale Generale Regionale Francesco Miulli (IT)
- Flint Institute Of Arts (US)
- Carlo Forlanini Hospital (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Azienda Usl Toscana Centro (IT)
- Woodlands Hospital (GB)
- University of Naples Federico II (IT)
Publication Details
- Journal
- Giornale italiano di cardiologia
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1714/4418.44145
- Citations
- 2
- Primary Topic
- Cardiac Imaging and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 2.72