Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion
Fractional flow reserve (FFR) has been recognized as an effective tool to determine functional significance in intermediate coronary lesions and FFR-guided percutaneous coronary intervention (PCI) improves clinical outcomes. However, hemodynamic interaction between serial stenoses within one coronar...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/1987238 |
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| _version_ | 1849404362581868544 |
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| author | Lawrence Yu-Min Liu Hsu-Ping Wu Po-Lin Lin |
| author_facet | Lawrence Yu-Min Liu Hsu-Ping Wu Po-Lin Lin |
| author_sort | Lawrence Yu-Min Liu |
| collection | DOAJ |
| description | Fractional flow reserve (FFR) has been recognized as an effective tool to determine functional significance in intermediate coronary lesions and FFR-guided percutaneous coronary intervention (PCI) improves clinical outcomes. However, hemodynamic interaction between serial stenoses within one coronary artery complicates the assessment of functional severity of each individual lesion. We present a case in which FFR measurement by intracoronary bolus injection of adenosine helps to make appropriate revascularization decision in serial stenoses when the procedures are performed systemically and properly. |
| format | Article |
| id | doaj-art-8f81b7a31707452b97bca7e9d21eebe1 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-8f81b7a31707452b97bca7e9d21eebe12025-08-20T03:37:01ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/19872381987238Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial LesionLawrence Yu-Min Liu0Hsu-Ping Wu1Po-Lin Lin2Division of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital Hsinchu, No. 690 Section 2, Guangfu Road, Hsinchu 30071, TaiwanDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital Hsinchu, No. 690 Section 2, Guangfu Road, Hsinchu 30071, TaiwanDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital Hsinchu, No. 690 Section 2, Guangfu Road, Hsinchu 30071, TaiwanFractional flow reserve (FFR) has been recognized as an effective tool to determine functional significance in intermediate coronary lesions and FFR-guided percutaneous coronary intervention (PCI) improves clinical outcomes. However, hemodynamic interaction between serial stenoses within one coronary artery complicates the assessment of functional severity of each individual lesion. We present a case in which FFR measurement by intracoronary bolus injection of adenosine helps to make appropriate revascularization decision in serial stenoses when the procedures are performed systemically and properly.http://dx.doi.org/10.1155/2016/1987238 |
| spellingShingle | Lawrence Yu-Min Liu Hsu-Ping Wu Po-Lin Lin Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion Case Reports in Cardiology |
| title | Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion |
| title_full | Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion |
| title_fullStr | Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion |
| title_full_unstemmed | Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion |
| title_short | Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion |
| title_sort | fractional flow reserve assessment of a significant coronary stenosis masked by a downstream serial lesion |
| url | http://dx.doi.org/10.1155/2016/1987238 |
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