By Tommaso Gori, Massimo Fineschi
This booklet studies the speculation and perform of fractional movement reserve (FFR)-guided coronary intervention, a method that provides feel and a motive to day-by-day judgements within the interventional suite. FFR assistance presents specified details on coronary hemodynamics for the interventional heart specialist. this system has profound sensible implications for healing judgements and for the diagnosis of sufferers.
The Atlas of FFR-Guided Percutaneous Coronary Interventions presents practising physicians transparent info to appreciate either the complexity of the procedure and the right kind method to observe it. it's designed either to help more youthful school and people in education, and to behave as a scientific source for more matured practitioners. utilizing the scientific instances defined, the reader can discover ways to take pleasure in the pitfalls, assistance and tips that simplify the functionality and interpretation of FFR and iFR.
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Extra info for Atlas of FFR-Guided Percutaneous Coronary Interventions
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. It was decided not to intervene. Final Comments • FFR can be easily and reproducibly measured using a radial approach and an intracoronary adenosine bolus. • In the experience of the author, this procedure is also generally safe in the setting of asthma.
In the setting of diffuse disease, no focal drop in Pd can be observed during pull-back. At angiography, no clear focal lesion was evident. The LAD appeared, however, to be diffusely diseased (Fig. 1). The result after RCX stenting (6 months before) was optimal. Patient Information/History Age: 73 Gender: Male Medical history: • Cardiovascular risk factors: hypertension • Previous PCI of the RCX Currently referred to angiography for angina CCS II and a positive ECG exercise test. Fig. 1 Angiogram showing diffuse disease of the LAD T.
1). Patient Information/History Age: 60 Gender: Male Medical history: • Cardiovascular risk factors: smoking, obesity • Previous PCI of the LAD • Currently referred to angiography for angina CCS IV and elevation of troponin (NSTEMI) T. de Fig. 1 Angiogram (top) and FFR tracing (bottom). 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.