ESCR Webinar 02 – Level Basic
Date: Wednesday, April 10, 2019, at 18:00 CET
Title: “Modern techniques for Cardiac CT: Case based assessment of coronary artery disease“
Moderator: Dr. Giulia Benedetti, London/UK (Young Club Member)
"Assessment of stable coronary artery disease"
Prof. Gorka Bastarrika, Pamplona/ES
"CT in acute chest pain"
Prof. Christian Loewe, Vienna/AT
Lecture 1 - details
Coronary CT angiography (CCTA) has emerged as the imaging modality of choice to non-invasively assess the coronary vasculature. In the clinical scenario of patients with stable clinical symptoms, CCTA is recommended in patients with low to intermediate pre-test probability of coronary artery disease and in particular, in those with non-diagnostic stress electrocardiogram or stress imaging. This decision is mainly based on the high negative predictive value of the technique. New developments, such as CT-derived fractional flow reserve (FFR-CT) estimation and myocardial CT perfusion imaging have shown to provide incremental diagnostic value.
• To review the clinical indications for CCTA in patients with stable coronary artery disease.
• To understand the need to assess the functional significance of coronary stenosis, beyond the morphologic assessment of the vasculature.
• To become familiar with most recent diagnostic approaches to coronary artery disease, including FFR-CT and myocardial CT perfusion
About the speaker
Name: Dr. Gorka Bastarrika, MD, PhD, EBCR
Specialty: Radiologist. Board certified cardiothoracic radiologist (European Board of Cardiac Radiology Diploma endorsed by the European Society of Radiology, ESR)
Current position: Head of the Department of Radiology. Clínica Universidad de Navarra. Pamplona, Spain.
Institution: Clínica Universidad de Navarra. Pamplona, Spain.
Years of experience: 15 years of experience in cardiothoracic imaging, particularly in cardiac CT and cardiac MRI.
Publications in peer-reviewed journals: 154.
Editor, co-editor, chapters in books: 16.
Invited lectures: 163.
Scientific contribution to national and international congresses: 265
• Spanish Society of Radiology (SERAM), 15/10/1999-
• Spanish Society of Cardiothoracic Imaging (SEICAT), 2008-
• European Society of Radiology (ESR), 2008-
• European Society of Cardiovascular Radiology (ESCR), 2011-
• Past president of the Spanish Society of Cardiothoracic Imaging (SEICAT),
• Member of ESCR Communication & New Media Committee: October 2017 until October 2020
• Member of the ESCR Membership & Registry Committee: October 2017 until October 2020Member of the Scientific Programme Committee (ESCR), 2011, 2012, 2013, 2014.
• Member of the Scientific Programme Committee (ECR), subcommittee cardiac imaging 2012, 2013, 2014, 2018
• Scientific exhibition jury. ECR 2010, 2011, 2012, 2013, 2014
• EPOS reviewer: 2013-19
Lecture 2 - details
Three potentially life-threatening disorders can become clinically evident by the unspecific symptom of “acute chest pain”, and in two out of them including pulmonary embolism and acute aortic syndrome CT angiography was established as the first diagnostic modality of choice. Given the high evidence for the value of Cardiac CT in ruling out relevant coronary artery disease in stable patients and facing still existing challenges to safely triage patients in chest pain units, the possible role of Cardiac CT in this clinical scenario is under evaluation and discussion. It is proven that CT can be used to safely rule out acute coronary syndromes with a very high negative predictive value and that CT can help to early discharge patients from the chest pain unit. However, the possible role in the positive diagnosis of an acute coronary syndrome is not as clear.
The aim of this part of the webinar is to provide an overview about the clinical challenges combined with the diagnosis and further management of patients suffering from acute chest pain. Furthermore, the most important differential diagnosis will be addressed with the most relevant imaging findings in the acute setting. The main focus of the presentation, however, will be on the existing challenges and possible solutions of using Cardiac CT in patients with acute coronary syndromes, exemplified with clinical cases.
• To become familiar with the clinical challenges of patients with acute chest pain
• To learn about the role of Cardiac CT in the management of patients with acute coronary syndrome
• To discuss the possible future role of Cardiac CT in the management of patients suffering from acute chest pain
About the speaker
Univ.-Prof. Dr. Christian Loewe, EBCR, was born 1971 in Vienna, Austria.
He is currently the Chairman of the Division of Cardiovascular and Interventional Radiology, Department of Bioimaging and Inage-Guided Intervention at the Medical University of Vienna. He serves currently as the Chairman of the European Board of Cardiovascular Radiology (EBCR) and as the Chairmen of the Educational Committee within the European Society of Cardiovascular Radiology (ESCR).
He was President of the Annual Meeting of ESCR in Vienna 2014 and Chariman of the Postgraduate educational programme planning committee of ECR 2019. Christian Loewe was member of the Editorial Board of European Radiology (2002 – 2011) and Associate Editor of Radiology ((2011 – 2017).
The main focus of his clinical and scientific work non-invasive cardiovascular diagnostic (MSCT and MRT of the heart; CT angiography; MR angiography), he gave more than 350 invited lectures, has authored / co-authored more than 110 articles in peer-reviewed journals and is the author of 5 book chapters.