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01.08.2020 | Intravascular Imaging (A. G. Truesdell, Section Editor)

Contrast Fractional Flow Reserve (cFFR) and Computed Tomography Fractional Flow Reserve (CT-FFR) Guidance for Percutaneous Coronary Intervention (PCI)

verfasst von: Aravdeep Jhand, Paul C. Gordon, Barry L. Sharaf, Arnold H. Seto, Amit P. Amin, Srihari S. Naidu, Andrew M. Goldsweig

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 8/2020

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Abstract

Purpose of Review

In this review, we summarize both contrast fractional flow reserve (cFFR) and computed tomography fractional flow reserve (CT-FFR) as novel modalities to evaluate the hemodynamic significance of coronary artery stenoses and to guide percutaneous coronary intervention (PCI).

Recent Findings

Implementation of cFFR can reduce the time, cost, effort, and patient discomfort associated with traditional adenosine FFR. Clinical outcomes following cFFR-guided revascularization are currently under investigation. Emerging data on the use of CT-FFR in patients with acute coronary syndromes may increase the use of this technology in acute settings, while virtual stenting applications to model the hemodynamic results of stent placement may help optimize PCI planning.

Summary

Using contrast media already available for traditional angiography, cFFR yields results that are highly reproducible and correlate more closely with traditional adenosine FFR than the distal/aortic pressure ratio (Pd/Pa) or the instantaneous wave-free ratio (iFR). Based upon computational fluid dynamics, CT-FFR provides a non-invasive estimate of the traditional adenosine FFR and predicts ischemia more accurately than nuclear imaging. Therefore, CT-FFR has begun to take on a gatekeeper role to minimize unnecessary invasive angiography.

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Titel: Contrast Fractional Flow Reserve (cFFR) and Computed Tomography Fractional Flow Reserve (CT-FFR) Guidance for Percutaneous Coronary Intervention (PCI)
verfasst von: Aravdeep Jhand
Paul C. Gordon
Barry L. Sharaf
Arnold H. Seto
Amit P. Amin
Srihari S. Naidu
Andrew M. Goldsweig
Publikationsdatum: 01.08.2020
Verlag: Springer US
Erschienen in: Current Cardiovascular Imaging Reports / Ausgabe 8/2020
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI: https://doi.org/10.1007/s12410-020-09543-1

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Springer Medizin

Contrast Fractional Flow Reserve (cFFR) and Computed Tomography Fractional Flow Reserve (CT-FFR) Guidance for Percutaneous Coronary Intervention (PCI)

Abstract

Purpose of Review

Recent Findings

Summary

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Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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Neu im Fachgebiet Kardiologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adipositas-Medikament auch gegen Schlafapnoe wirksam

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Update Kardiologie