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Cardiac CT in Ischemic Heart Disease, Known CAD

Content Reviewed: July 8, 2024

Mastery Series
Preview Course

5 CME

62 Clinical Cases

60 Videos

4 hr. 50 min.

Course Description

This Course can help you achieve your CME requirements for SCCT and NACSI verification programs, and also includes video cases (Category B1) to help fulfill your SCCT Contrast CT case requirement.

Ischemic heart disease remains a common cause of mortality in the western world, and Cardiac CT is being utilized more in the evaluation of patients with this disease. Join Dr. Brian Ghoshhajra (Massachusetts General Hospital) as he provides framework and concepts associated with Cardiac CT for evaluation, as well as his approach and interpretation of coronary CT in patients with known coronary artery disease. With this framework, you will be able to work through complex cases and apply key learning points to your own practice.

Dr. Ghoshhajra also gives an overview of CABG anatomy and common patterns, stent terminology and anatomy, invasive coronary angiography, CAD-RADs, and reporting guidelines

Read alongside Dr. Ghoshhajra as he walks through his approach to using Cardiac CT in the evaluation of patients with:

  • Moderate stenosis
  • CABG: arterial and venous grafts
  • Myocardial scarring
  • Pseudoaneurysm
  • Left main coronary artery disease
  • Complex stenosis
  • …and more!

Optimize your learning:

  • Test Yourself - Before starting the video, launch the DICOM study and complete your independent review of the case in our diagnostic web viewer.
  • Review at your own pace - Reminder to utilize the video player features to speed up or slow down the video, pause or rewind to best fit your available time and learning needs.
  • Read alongside Dr. Ghoshhajra - Keep the DICOM study open while you watch Dr. Ghoshhajra review the cases. We suggest popping the DICOM viewer open in a new window and viewing side by side with the video on your screen. 

After you’re done, check out these additional Cardiac Imaging Mastery Courses for further in-depth case review:

This Course can help you achieve your CME requirements for SCCT and NACSI verification programs, and also includes video cases (Category B1) to help fulfill your SCCT Contrast CT case requirement.

Ischemic heart disease remains a common cause of mortality in the western world, and Cardiac CT is being utilized more in the evaluation of patients with this disease. Join Dr. Brian Ghoshhajra (Massachusetts General Hospital) as he provides framework and concepts associated with Cardiac CT for evaluation, as well as his approach and interpretation of coronary CT in patients with known coronary artery disease. With this framework, you will be able to work through complex cases and apply key learning points to your own practice.

Faculty

Brian Ghoshhajra, MD, MBA, MSCCT

Academic Chief, Cardiovascular Imaging and Associate Chair, Operations Analytics

Massachusetts General Hospital / Harvard Medical School

Advisors

Stefan Loy Zimmerman, MD

Associate Professor of Radiology and Radiological Science

Johns Hopkins Medicine Department of Radiology and Radiological Science

Introduction to Cardiac CT in Ischemic Heart Disease in the Setting of Known Coronary Artery Disease

2 m

Anatomy Review

6 m

CABG Anatomy and Common Patterns

4 m

Stent Terminology and Anatomy

2 m

Invasive Coronary Angiography

6 m

Myocardial and Segmental Anatomy and Physiology

8 m

The Ischemic Cascade

3 m

Basic Imaging Planes

4 m

Myocardial Perfusion and Late Contrast Enhancement

4 m

Wall Motion and Function

4 m

Delayed Imaging

2 m

CAD-RADS & Guidelines for High Risk Patients

5 m

Stents and Chronic Total Occlusions

7 m

CTA Findings

6 m

Optimal Use of Ambra to Review Coronary CT Cases in this Course

6 m

Approach to Reading Coronary CT in Patients with Known CAD: Assessing Image Quality

7 m

Approach to Reading Coronary CT in Patients with Known CAD: Evaluating Coronary Arteries

10 m

Approach to Reading Coronary CT in Patients with Known CAD: Additional Testing

3 m

Moderate Stenosis

8 m

Severe Stenosis, Single Vessel

7 m

Severe Stenosis, Complex Disease With CT-FFR Discrepancy

8 m

Severe Stenosis, Complex Disease (Obtuse Marginal Branch)

9 m

Moderate Stenosis in the Mid-LAD

3 m

Native Coronary Aneurysm

2 m

Stent Occlusion

8 m

Total Occlusion

9 m

Total Occlusion, Complex Disease

7 m

Severe Stenosis With Serial Lesions, Known MI, High-risk Patient

7 m

Severe Stenosis With Serial Lesions, Emergency Chest Pain

6 m

Moderate Stenosis With Serial Lesions

5 m

Role of CT FFR in Translesional Gradient Evaluation, Low-risk Patient in Mid-40s

5 m

Role of CT FFR in Translesional Gradient Evaluation, Setting of a Stent

4 m

CT FFR Limitation: Small Vessel Caliber

3 m

CT FFR Limitation: Motion Artifact (Case 1)

5 m

CT FFR Limitation: Motion Artifact (Case 2)

3 m

CABG & CTO Considerations: Arterial Graft

13 m

CABG: Arterial and Venous Grafts

7 m

CABG: Venous Disease

5 m

CABG: Atypical Graft

5 m

CABG: Saphenous Vein Graft Aneurysm

5 m

CABG: Venous Bypass Graft Aneurysm

2 m

Myocardial Scarring (Case 1)

4 m

Myocardial Scarring (Case 2)

4 m

Myocardial Scarring (Case 3)

2 m

Myocardial Scarring (Case 4)

3 m

Atrial Thrombus

2 m

Ventricular Aneurysm (Case 1)

1 m

Ventricular Aneurysm (Case 2)

2 m

Pseudoaneurysm (Case 1)

3 m

Pseudoaneurysm (Case 2)

2 m

CTA for CHF Differentiation

5 m

Papillary Muscle Infarction

3 m

DRESSLER Syndrome

1 m

Three-vessel Plus Borderline Left Main Coronary Artery Disease

8 m

Challenging Three-Vessel Coronary Artery Disease

8 m

Left Main Coronary Artery Disease

5 m

Complex Stenosis

4 m

Percutaneous Coronary Intervention Planning

4 m

Chronic Total Occlusion Planning

5 m

Summary of Cardiac CT in Ischemic Heart Disease in the Setting of Known Coronary Artery Disease

2 m

Course Evaluation: Cardiac CT in Ischemic Heart Disease, Known CAD

Course Recommendations

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