Koronare CT in der klinischen Praxis: Indikation, Patientenmanagement, Befundung

Zusammenfassung

Nicht zuletzt basierend auf der 2019er-ESC-Leitlinie des chronischen Koronarsyndroms hat die koronare CT als nicht invasives Verfahren in der Diagnostik einer obstruktiven koronaren Herzerkrankung zunehmenden Stellenwert in der klinischen Praxis erlangt. Die Grundlagen, Indikationsstellung wie auch Durchführung und Befundung der koronaren CT – Themen dieses Beitrags – sind daher wichtig wie nie in der täglichen Routine.

Abstract

Not least based on the 2019 European Society of Cardiology (ESC) guideline on the chronic coronary syndrome, coronary computed tomography (CT) has increasingly found its way into daily practice as a non-invasive procedure in the diagnosis of obstructive coronary artery disease (CAD). Despite the technical advances in CT systems and increasing availability of the examination, the number of diagnostic invasive coronary angiographies has also increased significantly. With a clear indication, adequate performance, and reporting, coronary CT is a goal-oriented, cost-effective, and noninvasive method for the evaluation of the symptomatic patient. The essential fundamentals of coronary CT, indications, implementation in the clinical routine as well as reporting of coronary CT – topics of this article – are therefore more important than ever in daily routine.

Schlüsselwörter

koronare Herzkrankheit - Computertomografie - Koronar-CT - Verkalkung der Koronararterien - CAD-RADS

Key words

Coronary artery disease - Computed tomography - Coronary CT angiography - Coronary artery calcium - CAD-RADS

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