Table 1.
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 |
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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. |
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RIPCORD | Stable chest pain | 200 | CTA vs FFRCT | FFRCT data resulted in a change in management in 36% of cases. |
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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. |
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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.