Could MDCT be enough to send a patient with left main and tree vessel coronary artery disease to surgery?

When Cardiac Computed Tomography Becomes the Gold Standard Technique to Evaluate Coronary Artery Disease Patients

“…Having preoperatively clear images of the diseased vessels for the presence of calcified or soft plaques is also useful for the surgeon to decide where to perform the anastomosis. Moreover, the study of the wall-thickness changes over the cardiac cycle obtained with CCT may guide both surgeons and interventional cardiologists to decide the real necessity for the revascularization and could help to avoid sudden decisions during ICA procedures for patients who may benefit more from cardiac bypass surgery rather than percutaneous interventions (Bamoshmoosh et al, 2008). Recently some published papers hypnotized that CCT could be judged enough to decide if a patient can be directly sent to perform bypass cardiac surgery without confirming CCT results with traditional ICA.…”