Role of Invasive Functional Assessment in Surgical Revascularization of Coronary Artery Disease

被引：11

作者：

Baibhav, Bipul ^{[1
,3
]}

Gedela, Maheedhar ^{[4
]}

Moulton, Michael ^{[2
]}

Pavlides, Gregory ^{[1
]}

Pompili, Vincent ^{[1
]}

Rab, Tanveer ^{[5
]}

Dangas, George ^{[6
]}

Bhatt, Deepak L. ^{[7
]}

Siddique, Aleem ^{[2
]}

Chatzizisis, Yiannis S. ^{[1
]}

机构：

[1] Univ Nebraska Med Ctr, Cardiovasc Div, 982265 Nebraska Med Ctr, Omaha, NE 68198 USA

[2] Univ Nebraska Med Ctr, Div Cardiothorac Surg, Omaha, NE 68198 USA

[3] Rochester Reg Hlth, Sands Constellat Heart Inst, Rochester, NY USA

[4] Univ South Dakota, Sanford Sch Med, Dept Cardiovasc Dis, Sioux Falls, SD USA

[5] Emory Univ, Sch Med, Div Cardiol, Atlanta, GA 30322 USA

[6] Mt Sinai Hosp, Dept Cardiovasc Med, New York, NY 10029 USA

[7] Harvard Med Sch, Brigham & Womens Hosp, Heart & Vasc Ctr, Boston, MA USA

来源：

CIRCULATION | 2018年 / 137卷 / 16期

关键词：

coronary angiography; coronary artery bypass; coronary artery disease; fractional flow reserve; percutaneous coronary revascularization; FRACTIONAL FLOW RESERVE; INTERNAL-THORACIC-ARTERY; WAVE-FREE RATIO; ELEVATION MYOCARDIAL-INFARCTION; BYPASS GRAFT PATENCY; INDUCED PD/PA RATIO; STENOSIS SEVERITY; FOLLOW-UP; MEDICAL THERAPY; SAPHENOUS-VEIN;

D O I：

10.1161/CIRCULATIONAHA.117.031182

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In patients with stable coronary artery disease, percutaneous coronary intervention is associated with improved outcomes if the lesion is deemed significant by invasive functional assessment using fractional flow reserve. Recent studies have shown that a revascularization strategy using instantaneous wave-free ratio is noninferior to fractional flow reserve in patients with intermediate-grade stenoses. The decision to perform coronary artery bypass grafting surgery is usually based on anatomic assessment of stenosis severity by coronary angiography. The data on the role of invasive functional assessment in guiding surgical revascularization are limited. In this review, we discuss the diagnostic and prognostic significance of invasive functional assessment in patients considered for coronary artery bypass grafting. In addition, we critically discuss ongoing and future clinical trials on the role of invasive functional assessment in surgical revascularization.

引用

页码：1731 / 1739

页数：9

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