Evaluating Equivocal Left Main Stenosis with Fractional Flow Reserve - Not all Daughter Vessels are Created Equally.

IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Heart International Pub Date : 2019-12-09 eCollection Date: 2019-01-01 DOI:10.17925/HI.2019.13.2.38
Ahmed Almomani, Abdul-Rahman Abdel-Karim, Barry F Uretsky
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引用次数: 0

Abstract

Fractional flow reserve (FFR) evaluation of intermediate left main coronary artery (LMCA) stenosis has been validated in clinical decision-making. However, the size of the daughter vessel, in which the FFR transducer is placed and the amount of myocardium it subtends, has received less attention. We present a case that demonstrates the importance of transducer location, size of the daughter vessel and the amount of subtended myocardium in evaluation of LMCA stenosis, pointing out potential pitfalls.

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用少量血流储备评价模棱两可的左主干狭窄——并非所有子血管都是平等产生的。
分数血流储备(FFR)评价中左主干冠状动脉(LMCA)狭窄已在临床决策中得到验证。然而,放置FFR换能器的子血管的大小及其所覆盖的心肌的数量却很少受到关注。我们报告了一个病例,证明了传感器位置、子血管大小和支撑心肌数量在评估LMCA狭窄中的重要性,并指出了潜在的缺陷。
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来源期刊
Heart International
Heart International Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.90
自引率
0.00%
发文量
9
审稿时长
7 weeks
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