Impact of Coronary Remodeling on Fractional Flow Reserve

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چکیده

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منابع مشابه

Impact of Right Atrial Pressure on Fractional Flow Reserve Measurements: Comparison of Fractional Flow Reserve and Myocardial Fractional Flow Reserve in 1,600 Coronary Stenoses.

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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Comprehensive assessment of coronary fractional flow reserve

Fractional flow reserve (FFR) is considered nowadays as the gold standard for invasive assessment of physiologic stenosis significance and an indispensable tool for decision-making in coronary revascularization. Robust studies have shown that FFR is more effective in accurately identifying which lesions should be stented, and revascularization guided by FFR improves the outcome of coronary arte...

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Fractional flow reserve in acute coronary syndromes.

Little doubt exists about the outcome benefit of an invasive strategy in patients with an acute coronary syndrome (ACS). Yet, once the revascularization is performed, the treatment strategy of patients admitted with an ACS is not always as straightforward in daily clinical practice as indicated in guidelines. The reasons for this are at least three-fold. First, a sizable proportion of patients ...

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Fractional flow reserve to guide coronary revascularization.

Fractional flow reserve (FFR) has become an increasingly important index for decision making with respect to revascularization of coronary artery stenosis. It is the gold standard to indicate whether a particular stenosis is responsible for inducible ischemia and it is generally accepted that a stenosis with an ischemic value of FFR is responsible for angina pectoris and a worse outcome, and sh...

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Fractional flow reserve and complex coronary intervention.

This paper aims to provide a short overview of the theoretical background for coronary pressure-derived fractional flow reserve (FFR) index and to focus on its clinical applicability in complex coronary intervention.

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ژورنال

عنوان ژورنال: Circulation

سال: 2018

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.117.031478