Role of Invasive Functional Assessment in Surgical Revascularization of Coronary Artery Disease
| Autor: | Yiannis S. Chatzizisis, Gregory Pavlides, Bipul Baibhav, Michael J. Moulton, Tanveer Rab, Maheedhar Gedela, George Dangas, Deepak L. Bhatt, Aleem Siddique, Vincent J. Pompili |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cardiac Catheterization medicine.medical_treatment Clinical Decision-Making Fractional flow reserve Coronary Artery Disease 030204 cardiovascular system & hematology Revascularization Coronary Angiography Coronary artery disease 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Predictive Value of Tests Physiology (medical) Internal medicine medicine Humans 030212 general & internal medicine Coronary Artery Bypass Cardiac catheterization business.industry Patient Selection Percutaneous coronary intervention Reproducibility of Results medicine.disease Coronary Vessels Clinical trial Fractional Flow Reserve Myocardial Stenosis medicine.anatomical_structure Treatment Outcome Heart Function Tests Cardiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Circulation. 137(16) |
| ISSN: | 1524-4539 |
| Popis: | In patients with stable coronary artery disease, percutaneous coronary intervention is associated with improved outcomes if the lesion is deemed significant by invasive functional assessment using fractional flow reserve. Recent studies have shown that a revascularization strategy using instantaneous wave-free ratio is noninferior to fractional flow reserve in patients with intermediate-grade stenoses. The decision to perform coronary artery bypass grafting surgery is usually based on anatomic assessment of stenosis severity by coronary angiography. The data on the role of invasive functional assessment in guiding surgical revascularization are limited. In this review, we discuss the diagnostic and prognostic significance of invasive functional assessment in patients considered for coronary artery bypass grafting. In addition, we critically discuss ongoing and future clinical trials on the role of invasive functional assessment in surgical revascularization. |
| Databáze: | OpenAIRE |
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