Fractional flow reserve and resting indices for coronary physiologic assessment: Practical guide, tips, and tricks

被引：7
作者：
Picard, Fabien [1 ]
Pighi, Michele [1 ]
Ly, Hung Q. [1 ]
机构：
[1] Univ Montreal, Montreal Heart Inst, Intervent Cardiol Div, Dept Med, Montreal, PQ, Canada
来源：
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2017年 / 90卷 / 04期
关键词：
fractional flow reserve; instantaneous wave free ratio; FFR; iFR; resting Pd; Pa; contrast medium FFR; myocardial ischemia; coronary artery disease; pressure wire; functional assessment; WAVE-FREE RATIO; INDUCED SUBMAXIMAL HYPEREMIA; INDUCED PD/PA RATIO; CONTRAST-MEDIUM; INTRAVASCULAR ULTRASOUND; ARTERY-DISEASE; CATHETER DISENGAGEMENT; MYOCARDIAL-INFARCTION; FUNCTIONAL ASSESSMENT; STENOSIS SEVERITY;
D O I：
10.1002/ccd.26933
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Physiologic assessment using fractional flow reserve (FFR) to guide percutaneous coronary interventions (PCI) has been demonstrated to improve clinical outcomes, compared to angiography-guided PCI. Recently, resting indices such as resting Pd/Pa, instantaneous wave-free ratio, and contrast medium induced FFR have been evaluated for the assessment of the functional consequences of coronary lesions. Herein, we review and discuss the use of FFR and other indices for the functional assessment of coronary lesions. This review will cover theoretical aspects, as well as practical points and common pitfalls related to coronary physiological assessment. (c) 2017 Wiley Periodicals, Inc.
引用
收藏
页码：598 / 611
页数：14
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