Optimal fluoroscopic view selection for percutaneous coronary intervention by multislice computed tomography

We present 2 cases of patients with stenotic and occlusive coronary lesions, which were detected by multislice computed tomography (MSCT) coronary angiography and treated with percutaneous coronary intervention (PCI) using CT-oriented optimal fluoroscopic views. Preprocedural MSCT allowed us to select the optimal fluoroscopic angle to visualize the target lesions, which provided least amount of foreshortening and minimal overlap of side branches during the PCI procedures. Given its three-dimensional nature, MSCT provides additional anatomical information in the evaluation of complex coronary lesions prior to PCI.