By Tommaso Gori, Massimo Fineschi
This publication studies the idea and perform of fractional circulate reserve (FFR)-guided coronary intervention, a method that provides experience and a reason to day-by-day judgements within the interventional suite. FFR assistance offers special details on coronary hemodynamics for the interventional heart specialist. this system has profound functional implications for healing judgements and for the diagnosis of sufferers.
The Atlas of FFR-Guided Percutaneous Coronary Interventions offers training physicians transparent info to appreciate either the complexity of the strategy and the proper technique to follow it. it really is designed either to aid more youthful college and people in education, and to behave as a medical source for more matured practitioners. utilizing the scientific instances defined, the reader can learn how to savour the pitfalls, assistance and tips that simplify the functionality and interpretation of FFR and iFR.
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Additional resources for Atlas of FFR-Guided Percutaneous Coronary Interventions
An intermediate lesion (arrow) was evident in the mid RCX © Springer International Publishing AG 2016 T. Gori, M. 1007/978-3-319-47116-7_8 45 46 T. 50 points of Pd/Pa). 5 guiding catheter • St. Jude Certus pressure wire The wire was calibrated and advanced to the vessel. After equalizing, the wire was pushed through the stenosis. The resulting curve was dampened and ventricularized. The Pd/ Pa already reflected the severity of the stenosis. A quick pull- back showed that the pressure gradient was located at the level of the stenosis.
Clinical judgement remains complex, even when safe and efficient diagnostic methods are available! Finally, with regard to the infusion route: Two recent analyses confirm that peripheral infusions result in similar degrees of hyperemia as central ones [6, 7]. Particularly important precautions that need to be taken, however, which include: • The venous line must be patent and controlled before Adenosine infusion. De Bruyne B, Pijls NH, Bartunek J, Kulecki K, Bech JW, De Winter H, et al. Fractional flow reserve in patients with prior myocardial infarction.
Relation of fractional flow reserve after drug-eluting stent implantation to one-year outcomes. Am J Cardiol. 2011;107(12):1763–7. Klauss V, Erdin P, Rieber J, Leibig M, Stempfle HU, König A, et al. Fractional flow reserve for the prediction of cardiac events after coronary stent implantation: results of a multivariate analysis. Heart. 2005;91(2):203–6. 8 When the Pd/Pa Is Already Significant: A “Quick and Clean” FFR Tommaso Gori Key-Points FFR assessment in single-vessel, single stenosis disease Coronary Angiography At angiography, an intermediate lesion was evident in the mid RCX (Fig.
Atlas of FFR-Guided Percutaneous Coronary Interventions by Tommaso Gori, Massimo Fineschi