Physiologic Assessment after Coronary Stent Implantation
Korean Circulation Journal
; : 189-201, 2021.
Article
em En
| WPRIM
| ID: wpr-901645
Biblioteca responsável:
WPRO
ABSTRACT
The presence of myocardial ischemia is a prerequisite for the benefit of coronary revascularization. In the cardiac catheterization laboratory, fractional flow reserve and non-hyperemic pressure ratios are used to define the ischemia-causing coronary stenosis, and several randomized studies showed the benefit of physiology-guided coronary revascularization. However, physiology-guided revascularization does not necessarily guarantee the relief of ischemia. Recent studies reported that residual ischemia might exist in up to 15–20% of cases after angiographically successful percutaneous coronary intervention (PCI). Therefore, post-PCI physiologic assessment is necessary for judging the appropriateness of PCI, detecting the lesions that may benefit from additional PCI, and risk stratification after PCI. This review will focus on the current evidence for post-PCI physiologic assessment, how to interpret these findings, and the future perspectives of physiologic assessment after PCI.
Texto completo:
1
Base de dados:
WPRIM
Tipo de estudo:
Clinical_trials
Idioma:
En
Revista:
Korean Circulation Journal
Ano de publicação:
2021
Tipo de documento:
Article