Coronary CT Angiography vs Catheter Angiography
Coronary Catheter Angiography is the gold standard method for identifying stenosis in the coronary arteries. This investigation is invasive and involves an incision in the groin or arm with a catheter passed through a main artery to the heart. A dye (containing iodine to help visualise the arteries) is then injected into the coronary arteries via the catheter and images are captured using X-rays.

Advantages of CT vs Invasive Angiography:
  • Better detection of coronary abnormalities and evaluation of severity of disease.

  • Non-invasiveness of the investigation: this is a significant benefit for the patient with less risk and discomfort as well as substantially decreased recovery time.

  • Speed of investigation: the scan for the entire heart only takes 10 to 12 seconds and the total investigation only 30 minutes, with no sedation or inpatient admission required.

  • Less costly alternative to the traditional coronary angiography examination..

  • Ability to visualise soft plaque which would otherwise be undetectable during any other cardiac investigations.

  • Better delineation of stenosis at the origin of the right and left coronary artery.

  • High resolution, three dimensional images of the moving heart and vessels.

  • "One-stop shop" analysis - coronary arteries, valves, ventricular analysis, myocardial mass, plaque morphology, lung parenchyma.

  • Enables determination of the patency of cardiac bypass grafts or stents in the coronary artery.


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