Role of Invasive Functional Assessment in Surgical Revascularization of Coronary Artery Disease.
Circulation
; 137(16): 1731-1739, 2018 04 17.
Article
em En
| MEDLINE
| ID: mdl-29661951
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Doença da Artéria Coronariana
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Ponte de Artéria Coronária
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Seleção de Pacientes
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Vasos Coronários
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Reserva Fracionada de Fluxo Miocárdico
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Tomada de Decisão Clínica
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Testes de Função Cardíaca
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Circulation
Ano de publicação:
2018
Tipo de documento:
Article