The Application of Quantitative Flow Ratio via 3-dimensional Coronary Angiography in Clinical Cardiology: A Review.

IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Discovery medicine Pub Date : 2022-05-01
Ying Li, Hui Chen
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引用次数: 0

Abstract

Fractional flow reserve (FFR) is a gold standard for the assessment of hemodynamic change during coronary stenosis, but it has several limitations such as high cost, the requirement of invasive pressure wire, and adverse drug reactions, which limit the wide application of FFR in clinical practice. In contrast, quantitative flow ratio (QFR) is a recently developed method for rapid calculation of FFR through 3-dimensional quantitative coronary angiography without the use of vasodilators and pressure wire. In this review we provide an updated summary of the principle of QFR, the correlation between QFR and FFR, and current applications of QFR in clinical cardiology. In conclusion, QFR provides a platform for functional evaluation of coronary stenoses based on angiographic data without invasive procedures; further development and optimization of QFR techniques will expand the application of QFR in clinical cardiology, ranging from diagnosis to coronary intervention to cardiac surgery, and benefit more patients.

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三维冠状动脉造影定量血流比在临床心脏病学中的应用综述。
分数血流储备(Fractional flow reserve, FFR)是评价冠状动脉狭窄血流动力学变化的金标准,但其存在成本高、需要有创压丝、药物不良反应等局限性,限制了FFR在临床中的广泛应用。相比之下,定量血流比(QFR)是最近发展起来的一种方法,通过三维定量冠状动脉造影快速计算FFR,无需使用血管扩张剂和压力丝。在这篇综述中,我们对QFR的原理、QFR与FFR的相关性以及QFR在临床心脏病学中的应用进行了最新的综述。总之,QFR提供了一个基于血管造影数据的冠状动脉狭窄功能评估平台,无需侵入性手术;QFR技术的进一步发展和优化将扩大QFR在临床心脏病学中的应用范围,从诊断到冠状动脉介入治疗再到心脏外科手术,使更多的患者受益。
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来源期刊
Discovery medicine
Discovery medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.40
自引率
0.00%
发文量
80
审稿时长
6-12 weeks
期刊介绍: Discovery Medicine publishes novel, provocative ideas and research findings that challenge conventional notions about disease mechanisms, diagnosis, treatment, or any of the life sciences subjects. It publishes cutting-edge, reliable, and authoritative information in all branches of life sciences but primarily in the following areas: Novel therapies and diagnostics (approved or experimental); innovative ideas, research technologies, and translational research that will give rise to the next generation of new drugs and therapies; breakthrough understanding of mechanism of disease, biology, and physiology; and commercialization of biomedical discoveries pertaining to the development of new drugs, therapies, medical devices, and research technology.
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