Coronary CT angiography derived fractional flow reserve for patients with coronary heart disease who undergo gynecological surgery impact of coronary evaluation decision
TANG Li
BAO Zhao-liang
ZHAO He
GUO Wen
SONG Xian-tao
ZHANG Jun
Abstract：Objective To investigate the effect of CT fractional flow reserve fraction(CT-FFR)on the decision-making of coronary artery evaluation before gynecological surgery in patients with coronary heart disease.Methods The clinical data of 167 patients with coronary heart disease receiving gynecological surgery in Beijing Anzhen Hospital from January 2018 to April 2023 were analyzed retrospectively.The preoperative coronary evaluation decisions without CT-FFR results and the preoperative coronary evaluation decisions after adding CT-FFR results were compared.Results Group A:28 out of 167 patients underwent coronary angiography before operation,accounting for 16.77％;group B:after adding the CT-FFR results by consulting experts,158 patients underwent consulatation(9 patients could not be analyzed due to bypass or image quality problems),and 13 patients needed further coronary angiography,accounting for 8.23％.There was significant difference between group A and group B(P＜0.05).Conclusions CT-FFR has both anatomical and functional capabilities in the evaluation of coronary artery,which can identify specific ischemia of coronary artery and reduce the interventional trauma of coronary angiography to some extent.In patients with coronary heart disease,CT-FFR has an important influence on the decision-making of coronary artery evaluation before gynecological surgery,and it is an effective method to evaluate coronary artery before gynecological surgery.
Keywords：CT-FFRcoronary heart diseasegynecological operationpreoperative coronary assessment
Publication Date：2025-03-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 369-372 )