Clinical applications of fractional flow reserve in bifurcation lesions

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Clinical applications of fractional flow reserve in bifurcation lesions

Percutaneous coronary intervention (PCI) for coronary bifurcation lesions has been associated with lower procedural success rates and worse clinical outcomes compared with PCI for simple coronary lesions. Angiographic evaluation alone is sometimes inaccurate and does not reflect the functional significance of bifurcation lesions. The fractional flow reserve (FFR) is an easily obtainable, reliab...

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Functional assessment of jailed side branches in coronary bifurcation lesions using fractional flow reserve.

OBJECTIVES This study was designed to assess the functional significance of side branches after stent implantation in main vessels using fractional flow reserve (FFR). BACKGROUND Little is known about the functional significance of side branches after stent implantation in main vessels in coronary bifurcation lesions. METHODS Between May 2007 and January 2011, 230 side branches in 230 patie...

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Physiological evaluation of the provisional side-branch intervention strategy for bifurcation lesions using fractional flow reserve.

AIMS This study was performed to evaluate the functional outcomes of fractional flow reserve (FFR)-guided jailed side-branch (SB) intervention strategy. METHODS AND RESULTS One hundred and ten patients treated by provisional strategy were consecutively enrolled and SB FFR was measured in 91 patients. SB intervention was allowed when FFR was <0.75. FFR measurement was repeated after SB interve...

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Role of fractional and coronary flow reserve in clinical decision making in intermediate coronary lesions

Adequate patient selection for percutaneous coronary intervention is of the greatest importance in order to minimize early and late complications. Therefore, objective evidence for myocardial ischemia is mandatory for the management of patients with coronary artery disease, in particular in multivessel disease and those with intermediate lesions (40–70% diameter stenosis on angiography). The us...

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Clinical Outcomes of Deferred Lesions With Angiographically Insignificant Stenosis But Low Fractional Flow Reserve

BACKGROUND Data are limited regarding outcomes of deferred lesions in patients with angiographically insignificant stenosis but low fractional flow reserve (FFR). We investigated the natural history of angiographically insignificant stenosis with low FFR among patients who underwent routine 3-vessel FFR measurement. METHODS AND RESULTS From December 2011 to March 2014, 1136 patients with 3298...

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ژورنال

عنوان ژورنال: Journal of Geriatric Cardiology

سال: 2012

ISSN: 1671-5411

DOI: 10.3724/sp.j.1263.2012.05091