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. 2018 Jul 25;2018:2680430. doi: 10.1155/2018/2680430

Table 1.

Summary of presented FFRCT clinical trials.

Trial Study Population n Intervention Findings
NXT Stable CAD scheduled to undergo invasive angiography 251 CCTA vs FFRCT FFRCT had higher diagnostic accuracy than CCTA

PLATFORM New stable CAD 584 Noninvasive stress testing vs FFRCT and ICA vs FFRCT prior to ICA In patients randomized to an early invasive coronary angiogram for stable CAD, FFRCT was associated with a lower rate of angiography showing no obstructive CAD and safe cancellation of ICA.

RIPCORD Stable chest pain 200 CTA vs FFRCT FFRCT data resulted in a change in management in 36% of cases.

ADVANCE Stable CAD 1000 CCTA Findings Reviewed CCTA stenosis severity, importantly, even for mild CCTA stenosis, in addition to diabetes and hypertension were predictive of abnormal FFRCT.

Functional Syntax Score Stable multivessel disease 77 Noninvasive vs invasive anatomic and functional SYNTAX score. Functional SYNTAX score utilizing FFRCT yielded similar results to those obtained invasively and reclassified 30% of patients from the high- and intermediate- SYNTAX score to the low-risk tertile. FFRCT has good accuracy in detecting functionally significant lesions in patients with multivessel disease.

CAD = coronary artery disease. CCTA = coronary computed tomography angiography. FFRCT = CTA-derived fractional flow reserve. ICA = invasive coronary angiography.