Evidence Assist: Coronary Computed Tomography Angiography Innovations in Noninvasive Diagnosis of Coronary Artery Disease

Prepared by:
Evidence Synthesis Program (ESP) Coordinating Center
Portland VA Health Care System
Portland, OR
Mark Helfand, MD, MPH, MS, Director

Recommended Citation:
Helfand M, Anderson J, Peterson K, Bourne D. Evidence Assist: Coronary Computed Tomography Angiography Innovations in Noninvasive Diagnosis of Coronary Artery Disease. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #09-199; 2019.

Download PDF: Brief, Supplemental Materials

Purpose and Scope

The ESP Coordinating Center (ESP CC) is responding to a request from Health Services Research & Development for an evidence assist white paper. This white paper is intended to provide a conceptual overview of the capabilities, benefits and harms, and anticipated impact on resource use within the Veterans Health Administration (VHA) of coronary computed tomography angiography (CCTA) with fractional flow reserve (FFRCT) technologies for the diagnosis of coronary artery disease (CAD). Findings from this white paper will be used to inform development of a Congressional Tracking Report summarizing their capabilities, cost, and implementation issues. This report is not intended to provide a formal and comprehensive assessment of the full spectrum of need and implementation facilitators and barriers necessary for VHA to consider if and whether to expand use of FFRCT technologies.

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