chapter  31
12 Pages

Computed Tomographic Coronary Angiography for Subclinial Coronary Artery Disease, Coronary Artery Remodeling, and Plaque Imaging

ByPaul Schoenhagen

The introduction of coronary imaging with conventional

x-ray angiography in the late 1950s has revolutionized the

care of patients with advanced coronary artery disease

(CAD).1-3 In modern practice, the identification of high-

grade stenoses in symptomatic patients has become the basis

to determine the need for percutaneous and surgical inter-

vention. However, despite the success of revascularization

therapies, CAD remains the leading cause of death in the

United States and Europe. It is increasingly obvious that

only interventions at earlier stages of disease development

can significantly reduce morbidity and mortality of athero-

sclerotic disease.