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Author(s):
Demosthenes G Katritsis
,
Ioannis Pantos
Added:
3 years ago
The functional severity of atherosclerotic coronary lesions is the single most important prognostic factor in patients with documented coronary artery disease (CAD). Assessment of the haemodynamic significance of coronary artery lesions by invasive fractional flow reserve (FFR) measurement now has an I-A indication by the European Society of Cardiology (ESC) to identify haemodynamically relevant…
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Author(s):
Michalis Hamilos
Added:
3 years ago
Limitations in the Methods Used to Diagnose Left Main Coronary Artery Disease
Myocardial Perfusion Imaging
Non-invasive coronary testing has not been performed in the vast majority of patients undergoing PCI.8,9 Non-invasive coronary testing, particularly myocardial perfusion imaging (MPI), has proved to be highly sensitive and specific in detecting and localising ischaemia in patients with…
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Author(s):
Colin Berry
Added:
3 years ago
Introduction
Information on coronary physiology is increasingly important to inform treatment decisions in the cardiac catheter laboratory. The purpose of this article is to review the rationale and indications for fractional flow reserve (FFR), coronary flow reserve (CFR) and the index of microvascular resistance (IMR) in interventional cardiology practice. A second objective is to highlight…
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Author(s):
Stephan Achenbach
,
Tanja Rudolph
,
Johannes Rieber
,
et al
Added:
3 years ago
The invasive measurement of fractional flow reserve (FFR) can determine the haemodynamic relevance of coronary artery stenoses. Determination of FFR is recommended in coronary artery stenoses with a luminal diameter narrowing between 50 % and 90 % if no non-invasive proof of ischaemia is available.1 To measure the FFR of a given coronary lesion, a wire or a microcatheter equipped with a…
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Author(s):
Filip Casselman
,
Johan Van der Merwe
Added:
3 years ago
The diagnosis and treatment strategies for coronary artery disease are traditionally based on the percentage of coronary angiographic vessel stenosis. We are witnessing a gradual transition from angiographic evaluation of individual coronary artery lesions towards the combination of anatomy and physiology to determining its physiological consequences. With the introduction and rapid evolution of…
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Author(s):
Thomas Engstrøm
Added:
3 years ago
Today, the interest in optimal treatment of acute coronary syndrome (ACS) has never been greater. Several factors have contributed to this including an expanding patient population, the poorer prognosis of patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease and the recent evidence from randomised trials suggesting that multivessel percutaneous coronary…
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Author(s):
Lavanya Cherukuri
,
Divya Birudaraju
,
Matthew J Budoff
Added:
2 years ago
Author(s):
Nico Pijls
Added:
10 years ago
Fractional Flow Reserve (FFR) remains one of the most validated and accurate lesion assessment tools and is supported by an unprecedented legacy of randomized outcome trials, including DEFER, FAME and FAME 2. Nico Pijls, MD from Catharina Hospital, Eindhoven, The Netherlands, shares his insight into FFR and its role in clinical practice. The video “Landmark Evidence, Ease of Use, Cost…
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Author(s):
Chandan Deepak Bhavnani
,
Alan Yean Yip Fong
,
Keng Tat Koh
,
et al
Added:
1 year ago
Author(s):
Rikuta Hamaya
,
Yoshihisa Kanaji
,
Eisuke Usui
,
et al
Added:
3 years ago
Clinical and economic benefits of fractional flow reserve (FFR)-guided revascularisation have been established and the strategy is a class-1 recommendation in current guidelines.1,2 FFR values both before and after percutaneous coronary intervention (PCI) have been reported to provide prognostic information.3–5
Originally, FFR was used as a surrogate measure of impaired coronary flow, and…
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