کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2861142 1572382 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Influence of Routine Assessment of Fractional Flow Reserve on Decision Making During Coronary Interventions
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Influence of Routine Assessment of Fractional Flow Reserve on Decision Making During Coronary Interventions
چکیده انگلیسی
In complex coronary artery disease, it is sometimes difficult to determine which lesions are associated with reversible ischemia and should be stented. Fractional flow reserve (FFR) is an established objective methodology to indicate which lesions produce ischemia. Despite this, the selection of lesions to be stented is often based on the subjectively interpreted angiogram alone. The aim of this study in patients admitted for elective percutaneous intervention (PCI) was to evaluate the change in strategy if the decision to intervene was based on FFR measurement rather than on angiographic assessment. Two hundred fifty consecutive patients (471 arteries) scheduled for PCI were included in this study. All stenoses ≥50% by visual estimation and initially selected to be stented by 3 independent reviewers were assessed by FFR measurements. If FFR was <0.75, stenting was performed; if FFR was ≥0.75, no interventional treatment was given. Optimal pressure measurements were obtained in 452 lesions (96%). Diameter stenosis was 62 ± 12%, and FFR was 0.67 ± 0.17 for the entire group. In 68% of the stenoses, initial strategy as assessed from the angiogram was followed, and in 32%, there was a change in the planned approach based on FFR. In 48% of the patients, there was ≥1 lesion in which the treatment decision was changed after physiologic measurements. In conclusion, in this prospective, nonselective, but complete study representing the real world of PCI, 32% of the coronary stenoses and 48% of patients would have received a different treatment if the decision had been based on angiography only, stressing the utility of physiologic assessment in refining decision making during PCI.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Cardiology - Volume 99, Issue 4, 15 February 2007, Pages 504-508
نویسندگان
, , , , , , , , ,