The Current Status of Intervention for Intermediate Coronary Stenosis in the Korean Percutaneous Coronary Intervention (K-PCI) Registry
| Autor: | Sang-Hyun Kim, Keon Woong Moon, Ki Chang Kim, Byung Ryul Cho, Chang-Wook Nam, Jang Whan Bae, Doo Il Kim, Jin Ho Kim, June Hong Kim, Doo Soo Jeon, Jae-Sik Jang, Bum-Kee Hong, Woonggil Choi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Fractional flow reserve Coronary stenosis 030204 cardiovascular system & hematology Fractional flow reserve myocardial Coronary artery disease Percutaneous coronary intervention Lesion 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery Intravascular ultrasound Internal Medicine medicine 030212 general & internal medicine cardiovascular diseases medicine.diagnostic_test business.industry medicine.anatomical_structure surgical procedures operative Right coronary artery Conventional PCI Cardiology Original Article medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Korean Circulation Journal |
| ISSN: | 1738-5555 1738-5520 |
| Popis: | Background and objectives Intermediate coronary lesion that can be under- or over-estimated by visual estimation frequently results in stenting of functionally nonsignificant lesions or deferral of percutaneous coronary intervention (PCI) of significant lesions inappropriately. We evaluated current status of PCI for intermediate lesions from a standardized database in Korea. Methods We analyzed the Korean percutaneous coronary intervention (K-PCI) registry data which collected a standardized PCI database of the participating hospitals throughout the country from January 1, 2014, through December 31, 2014. Intermediate lesion was defined as a luminal narrowing between 50% and 70% by visual estimation and then compared whether the invasive physiologic or imaging study was performed or not. Results Physiology-guided PCI for intermediate lesions was performed in 16.8% for left anterior descending artery (LAD), 9.8% for left circumflex artery (LCX), 13.2% for right coronary artery (RCA). PCI was more frequently performed using intravascular ultrasound (IVUS) than using fractional flow reserve (FFR) for coronary artery segments (27.7% vs. 13.9% for LAD, 32.9% vs. 8.1% for LCX, and 33.8% vs. 10.8% for RCA). In accordance with or without FFR, PCI for intermediate lesions was more frequently performed in the hospitals with available FFR device than without FFR, especially in left main artery (LM), proximal LAD lesion (40.9% vs. 5.9% for LM, 24.6% vs 7.6% for proximal LAD). Conclusions These data provide the current PCI practice pattern with the use of FFR and IVUS in intermediate lesion. More common use of FFR for intermediate lesion should be encouraged. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|