Coronary Artery Disease
Conditions
Keywords
Coronary artery disease, CT, Computational flow dynamics
Brief summary
Angiographically obtained fractional flow reserve(FFR) could provide functional and clinical information about stenotic lesion, but the invasiveness and measuring difficulty of FFR make it unfamiliar to perform. CT coronary angiography is non-invasive tool to evaluate lesion severity and lately developing computational fluid dynamics could provide functional information. The investigators build a patient specific model of computational fluid dynamics by CT coronary angiography and evaluate the functional significance by measuring fractional flow reserve via CT coronary angiography and computational fluid dynamics, and investigate its long-term prognostic implications.
Interventions
Evaluate coronary blood flow dynamics by CT coronary angiography and computational fluid dynamics
Sponsors
Study design
Masking description
With masking value of FFR derived from coronary CT angiography to the investigators, FFR is measured and patients have been followed-up.
Eligibility
Inclusion criteria
* Significant stenosis at CT angiography * Normal ejection fraction on echocardiography * Informed consented patient
Exclusion criteria
* total occlusion and collateral flow to target vessel * AV conduction abnormality * Left ventricular hypertrophy * significant valvular heart or primary myocardial disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| fractional flow reserve | 1day | fractional flow reserve of stenotic coronary artery |
| target vessel failure | 10 year | composite of cardiovascular death, target vessel myocardial infarction, target vessel revascularization |
Countries
South Korea