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Development and validation of a quantitative coronary CT Angiography model for ...

CREDENCE and PACIFIC-1 Investigators; Nurmohamed, Nick S.; Danad, Ibrahim; Jukema, Ruurt A.; Winter, Ruben W. de; Groot, Robin J. de; Driessen, Roel S.

Background: Noninvasive stress testing is commonly used for detection of coronary ischemia but possesses variable accuracy and may result in excessive health care costs. Objectives: This study aimed to derive and validate an artificial intelligence-guided quantitative coronary computed tomography angiography (AI-QCT) model for the diagnosis of coronary ischemia that integrates atherosclerosis and vascular morph...


Relation of gender to atherosclerotic plaque characteristics by differing angio...

Jonas, Rebecca; Patel, Toral; Crabtree, Tami R.; Jennings, Robert S.; Heo, Ran; Park, Hyung Bok; Marques, Hugo; Chang, Hyuk Jae; Stuijfzand, Wijnand J.

It is unknown whether gender influences the atherosclerotic plaque characteristics (APCs) of lesions of varying angiographic stenosis severity. This study evaluated the imaging data of 303 symptomatic patients from the derivation arm of the CREDENCE (Computed TomogRaphic Evaluation of Atherosclerotic Determinants of Myocardial IsChEmia) trial, all of whom underwent coronary computed tomographic angiography and ...


Corrigendum to ‘Relation of Gender to Atherosclerotic Plaque Characteristics by...

Jonas, Rebecca; Patel, Toral; Crabtree, Tami R.; Jennings, Robert S.; Heo, Ran; Park, Hyung Bok; Marques, Hugo; Chang, Hyuk Jae; Stuijfzand, Wijnand J.

The authors regret that the original version was published with the wrong ac affiliation. The affiliation has now been corrected. The authors regret any inconvenience caused.


Global chronic total occlusion crossing algorithm: JACC state-of-the-Art review

Wu, Eugene B.; Brilakis, Emmanouil S.; Mashayekhi, Kambis; Tsuchikane, Etsuo; Alaswad, Khaldoon; Araya, Mario; Avran, Alexandre; Azzalini, Lorenzo

The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using th...


Global chronic total occlusion crossing algorithm

Wu, Eugene B.; Brilakis, Emmanouil S.; Mashayekhi, Kambis; Tsuchikane, Etsuo; Alaswad, Khaldoon; Araya, Mario; Avran, Alexandre; Azzalini, Lorenzo

The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using th...


Guiding principles for chronic total occlusion percutaneous coronary interventi...

Brilakis, Emmanouil S.; Mashayekhi, Kambis; Tsuchikane, Etsuo; Abi Rafeh, Nidal; Alaswad, Khaldoon; Araya, Mario; Avran, Alexandre; Azzalini, Lorenzo

Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have improved because of advancements in equipment and techniques. With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI.  1. Ischemic symptom improvement is the primary indication for CTO-PCI.  2. Dual coronary angiography and in-depth and s...


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