What would be the CAD-RADS category for this case - according to the new CAD-RADS 2.0?
CAD-RADS N/P3/S
For which vessel diameter is CAD-RADS 2.0 applicable?
For vessels with a lumen ≥1.5 mm in diameter.
What would you recommend in this case?
The patient should be considered for a stress test to look for myocardial ischaemia. He should also receive aggressive risk factor modification, preventive therapy, and other treatments, including anti-anginal therapy as per guidelines.
Technique
sharp reconstruction algorithm without edge correction
wider window setting for the curved and straight multi-planar reconstruction
Findings
The stent lumen with a lumen diameter of slightly less than 1.5 mm is much better visible now, but the assessment with regard to in-stent stenosis is still difficult not only due to the stent but also due to the small stent lumen. However, there is no evidence of stent occlusion.