期刊
FRONTIERS IN CARDIOVASCULAR MEDICINE
卷 9, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fcvm.2022.885249
关键词
fractional flow reserve; vFFR; CT FFR; CCTA; coronary physiology; coronary artery disease; coronary CT angiography
Coronary angiography has been the gold standard for assessing coronary artery disease (CAD), but new physiology-guided PCI methods and hemodynamic assessment modalities provide reliable and user-friendly alternatives. It is important for interventional cardiologists and cardiovascular healthcare providers to be familiar with the strengths and weaknesses of these assessment modalities.
Coronary angiography has been the gold standard for assessment of coronary artery disease (CAD) and guidance for percutaneous coronary interventions (PCI). Physiology-guided PCI has shown increased safety and efficacy, improved resource utilization, and better clinical outcomes in patients with stable angina and acute coronary syndromes. The three cases presented and discussed in this report illustrate the strengths and weaknesses of the available invasive and non-invasive methods for the physiological assessment of CAD. As technology evolves, invasive non-wire-based (angiography-derived FFR) and non-invasive (FFRCT) modalities for the hemodynamic assessment of CAD appear to provide reliable and user-friendly alternatives to the gold standard invasive wire-based techniques. Interventional cardiologists and cardiovascular healthcare providers should be familiar with the strengths and weaknesses of the available hemodynamic assessment modalities.
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