The Instantaneous wave-Free Ratio (iFR) pullback: a novel innovation using baseline physiology to optimise coronary angioplasty in tandem lesions

被引：58
作者：
Nijjer, Sukhjinder S. [1 ]
Sen, Sayan [1 ]
Petraco, Ricardo [1 ]
Mayet, Jamil [1 ]
Francis, Darrel P. [1 ]
Davies, Justin E. R. [1 ]
机构：
[1] Imperial Coll London, London, England
来源：
CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2015年 / 16卷 / 03期
基金：
英国医学研究理事会;
关键词：
Percutaneous coronary intervention; Instantaneous wave-free ratio; Pressure wire; Coronary physiology; Tandem lesions; Serial lesions;
D O I：
10.1016/j.carrev.2015.01.006
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Coronary intervention is increasingly performed in complex disease with tandem and diffuse disease. Pressure wires enable detailed assessment of the physiological significance of a stenosis but in the presence of tandem disease, predicting the impact of a stenting a given stenosis can be difficult and is impeded by flow interaction between stenoses under hyperemia. In this review, we consider the physiological difficulties posed by flow interaction under hyperemia and consider alternative approaches such as assessment under baseline conditions. Specifically we consider the potential value of the iFR-Pullback approach and its capacity to enable Virtual-PCI, which may assist in planning intervention. (C) 2015 The Authors. Published by Elsevier Inc.
引用
收藏
页码：167 / 171
页数：5
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