Download Atlas of FFR-Guided Percutaneous Coronary Interventions by Tommaso Gori, Massimo Fineschi PDF
By Tommaso Gori, Massimo Fineschi
This booklet experiences the idea and perform of fractional move reserve (FFR)-guided coronary intervention, a strategy that provides feel and a reason to day-by-day judgements within the interventional suite. FFR counsel offers targeted info on coronary hemodynamics for the interventional heart specialist. this system has profound functional implications for healing judgements and for the analysis of sufferers.
The Atlas of FFR-Guided Percutaneous Coronary Interventions offers practising physicians transparent details to appreciate either the complexity of the approach and the proper technique to observe it. it truly is designed either to aid more youthful school and people in education, and to behave as a scientific source for more matured practitioners. utilizing the scientific circumstances defined, the reader can discover ways to enjoy the pitfalls, information and tips that simplify the functionality and interpretation of FFR and iFR.
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Extra resources for Atlas of FFR-Guided Percutaneous Coronary Interventions
43 5, 7 Clinical Decision-Making The first FFR assessment confirmed the functional significance of the angiographic stenosis. This is particularly important in a 3-vessel disease patient, since FFR can downgrade the patient to 1 or 2-vessel disease, therefore influencing the decision between PCI and surgery. , above the threshold of hemodynamic significance but still demonstrating the presence of diffuse atherosclerosis. Based on the FFR findings, and in the absence of a focal pressure drop, it was decided not to proceed with stenting in the proximal segment.
Fig. 1 Angiogram showing diffuse disease of the LAD T. de © Springer International Publishing AG 2016 T. Gori, M. 5 6F guiding catheter • St. Jude Certus pressure wire Fig. 2 FFR tracing showing the absence of a focal step-up in Pd during pull-back T. The wire was calibrated and advanced to the vessel. 70, with a progressive normalization along the whole vessel (Fig. 2). 6 The Assessment of Diffuse Disease Clinical Decision-Making Given the absence of a focal lesion, it was decided to proceed with medical therapy.
Rioufol G, Caignault JR, Finet G, Staat P, Bonnefoy E, de Gévigney G, et al. 150 microgram intracoronary adenosine bolus for accurate fractional flow reserve assessment of angiographically intermediate coronary stenosis. EuroIntervention. 2005;1(2):204–7. Fractional flow reserve: intracoronary versus intravenous adenosine induced maximal coronary hyperemia. 2013;65(2):147–51. Clinical Decision-Making The result of the FFR assessment suggests that the lesion studied was hemodynamically not relevant.