By Tommaso Gori, Massimo Fineschi
This e-book reports the idea and perform of fractional circulate reserve (FFR)-guided coronary intervention, a method that provides feel and a reason to day-by-day judgements within the interventional suite. FFR tips offers designated details on coronary hemodynamics for the interventional heart specialist. this method 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 details to appreciate either the complexity of the strategy and the proper strategy to practice it. it truly is designed either to help more youthful school and people in education, and to behave as a medical source for more matured practitioners. utilizing the medical circumstances defined, the reader can learn how to take pleasure in the pitfalls, assistance 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
1 The stenosis at angiography T. de © Springer International Publishing AG 2016 T. Gori, M. 1007/978-3-319-47116-7_5 29 30 T. Gori FFR Assessment Materials In the absence of an exercise test, no conclusion regarding the hemodynamic severity of the stenosis could be made. Since the procedure was performed using a radial access, and most importantly given the history of lung disease, it was decided to avoid administering systemic doses of adenosine, which in this case also had the advantage of allowing avoidance of needing to place a femoral venous sheath (Fig.
2015;8:527–35. Seo MK, Koo BK, Kim JH, Shin DH, Yang HM, Park KW, et al. Comparison of hyperemic efficacy between central and peripheral venous adenosine infusion for fractional flow reserve measurement. Circulation Cardiovasc Interv. 2012;5:401–5. A Positive FFR in the Absence of Visible Stenosis: Where Is the Problem? 12 Salvatore Brugaletta Key-Points FFR assessment may unmask lesions not visible at angiography Patient Information/History Age: 68 Gender: Male Medical history: • Risk factors: hypertension, hyper-cholesterolemia • The patient was symptomatic for stable angina since 2010 symptomatic for stable angina • In 2013, coronary angiography showed severe lesions of LAD and diagonal branch, treated by PCI (mini crush technique).
After discussion with the heart team it was decided to perform a percutaneous coronary intevertion (PCI) due to absence of co-morbidity and low syntax score (Fig. 1). Fig. Angiography demonstrated multiple apparently severe lesions (positions 1, 2, 3, 4) © Springer International Publishing AG 2016 T. Gori, M. 1007/978-3-319-47116-7_7 39 40 S. Brugaletta FFR Assessment Materials FFR was performed to assess the functional significance of the lesion in the RCA and identify the most severe lesion.