Comparison of Resting PD/PA with Fractional Flow Reserve Using a Monorail Pressure Catheter

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Fractional flow reserve measurement modification with monorail pressure catheter.

A number of symptomatic patients with coronary artery disease undergo revascularization without definite evidence that particular coronary stenosis is responsible for their symptoms [1]. Currently, the borderline coronary artery stenoses are most commonly assessed by intravascular ultrasound and fractional flow reserve (FFR) alongside with quantitative coronary angiography [2]. FFR measurement,...

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OBJECTIVES This study sought to assess the impact of a wide range of mean right atrial pressure (Pra) on fractional flow reserve (FFR) measurements. BACKGROUND FFR invasively assesses the ischemic potential of coronary stenoses. FFR is calculated as the ratio of mean distal coronary pressure (Pd) to mean aortic pressure (Pa) during maximal hyperemia. The Pra is considered to have little impac...

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Resting Pd/Pa measured with intracoronary pressure wire strongly predicts fractional flow reserve.

OBJECTIVE To investigate the relationship between resting distal coronary pressure to aortic pressure ratio (Pd/Pa) and fractional flow reserve (FFR) obtained during maximal hyperemia. BACKGROUND FFR is an invasive index of the functional severity of a coronary artery stenosis determined from coronary pressure measurements. It is generally believed that there is little correlation between res...

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End-diastolic fractional flow reserve: comparison with conventional full-cardiac cycle fractional flow reserve.

BACKGROUND Diastolic fractional flow reserve (dFFR) has been shown to be highly sensitive for detection of inducible myocardial ischemia. However, its reliance on measurement of left-ventricular pressure for zero-flow pressure correction, as well as manual extraction of the diastolic interval, has been its major limitation. Given previous reports of minimal zero-flow pressure at end-diastole, w...

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The shortcomings of coronary arteriography to assess the physiological significance of coronary stenoses have been recognised for decades ; therefore, the importance of additional physiological techniques is beyond doubt. One of the currently available physiological techniques is coronary pressure measurement, which has emerged over the past few years as a major step forward in the invasive ass...

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ژورنال

عنوان ژورنال: International Journal of Cardiology

سال: 2017

ISSN: 0167-5273

DOI: 10.1016/j.ijcard.2017.09.092