Silent coronary ischemia in a patient with critical limb ischemia: Diagnosis and management using coronary CT-derived fractional flow reserve (FFRCT)

Dainis Krievins, Edgars Zellans, Gustavs Latkovskis, Ligita Zvaigzne, Peteris Stradins, Indulis Kumsars, Roberts Rumba, Andrejs Erglis

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with symptomatic peripheral arterial disease are at high risk of premature cardiovascular death as a result of coronary artery disease. Coronary ischemia may be silent and unsuspected due to lack of chest pain symptoms, and clinical guidelines recommend preoperative cardiac testing only if the results have the potential to alter patient management. A new noninvasive diagnostic test, coronary CT-derived fractional flow reserve (FFRCT), can reliably identify ischemia-producing coronary stenosis and has the potential to alter patient management. This case example outlines the successful management of a patient with critical limb ischemia and femoral pseudoaneurysm who was found to have severe silent coronary ischemia by pre-operative coronary computed tomography angiogram and FFRCT assessment.

Original languageEnglish
Pages (from-to)E23-E27
JournalVascular Disease Management
Volume16
Issue number2
Publication statusPublished - Feb 2019
Externally publishedYes

Keywords

  • Coronary CT angiography
  • Coronary ischemia
  • Critical limb ischemia
  • Non-invasive fractional flow reserve

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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