Coronary CT Angiography and Percutaneous Coronary Intervention: a Short Perspective from Interventional Cardiologist

Coronary CT angiography (CCTA) is currently acknowledged as a successful non-invasive technique for detecting coronary artery disease (CAD) in stable angina patients. In addition to identifying CAD and assessing stenosis severity, CCTA now allows for the identification and characterization of plaques, size of lesions, and morphology of stenosis, while also aiding in the assessment of the physiological impact of stenosis using CT myocardial perfusion imaging and CT-based fractional flow reserve and potentially predicting the outcome of revascularization. CCTA’s distinctive feature is its ability to help with referring for invasive coronary angiography and facilitating in planning coronary intervention. This review discusses current and future applications of CCTA for percutaneous coronary intervention preparation, advocates for increased utilization of CCTA by interventional cardiologists, and explores how CCTA can improve patient care and clinical outcomes.