Myocardial Viability Testing to Guide Coronary Revascularization

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...

Coronary Revascularization Myocardial Viability Testing and Impact of Revascularization on Prognosis in Patients With Coronary Artery Disease and Left Ventricular Dysfunction: A Meta-Analysis

OBJECTIVES This study pools data from published series examining late survival with revascularization versus medical therapy after myocardial viability testing in patients with severe coronary artery disease (CAD) and left ventricular (LV) dysfunction. BACKGROUND Previous observational studies have suggested survival benefit in such patients if they are revascularized when myocardial viability ...

Coronary revascularization for myocardial ischemia.

Myocardial revascularization at extremes – surgical revascularization in acute coronary syndrome

Methods At our Institute, 122 patients with ACS were surgically revascularized using extracorporeal circulation in the first 10 days after the coronarography by one surgical team in the 5 years period. Patients were stratified into two groups: 65 patients operated within 4 days (group 1), and 57 patients operated from 5-Th to 10-Th day after the clopidogrel discontinuation (group 2). Patients w...

assessment of myocardial viability: selection of patients for viability study and revascularization

the aim of this article is to review the application of current imaging techniques used for the detection of viable myocardium. each technique is discussed briefly, and the more commonly used techniques are compared. the imaging techniques reviewed herein are dobutamine stress echocardiography, single photon emission tomography, magnetic resonance imaging, positron emission tomography with f-18...