Is Fractional Flow Reserve Useful in Assessing Coronary Artery Fistula: A Case-Based Discussion and Review.
Heart Lung Circ
; 28(4): e51-e53, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-29735395
ABSTRACT
We present two cases where fractional flow reserve (FFR) was utilised to guide management of coronary artery fistula (CAF), an approach advocated in recent case studies. CAF is a coronary anomaly that may present with a variety of syndromes though is frequently asymptomatic. When to exclude the fistula (surgically or percutaneously) is not always clear. A way to quantify if the fistula is physiologically meaningful would be advantageous. Our findings suggest FFR may only be assessing the concomitant epicardial coronary artery disease (CAD) rather than the degree of coronary steal and its routine use in this setting is not supported.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fístula Vascular
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Vasos Coronários
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Reserva Fracionada de Fluxo Miocárdico
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Intervenção Coronária Percutânea
Tipo de estudo:
Diagnostic_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article