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Changes in donor vessel physiology following coronary computed tomography angiography guided chronic total occlusion percutaneous coronary intervention: insights from computed tomography fractional flow reserve and artificial intelligence-guided ischemia model

  • Pedro E. P. Carvalho,
  • João L. Cavalcante,
  • John Lesser,
  • Victor Cheng,
  • Charles A. Taylor,
  • Emmanouil S. Brilakis,
  • Yader Sandoval

摘要

Donor vessel fractional flow reserve (FFR) usually increases following successful chronic total occlusion (CTO) percutaneous coronary intervention, as documented by pressure wires. In this case, donor vessel physiology changes were assessed using FFR derived from coronary computed tomography angiography (CCTA) and an artificial Intelligence-guided quantitative CCTA ischemia model in combination with pressure wire-based FFR.