Current Concepts of Integrated Coronary Physiology in the Catheterization Laboratory

被引：292

作者：

Kern, Morton J. ^{[1
]}

Samady, Habib ^{[2
]}

机构：

[1] Univ Calif Irvine, Div Cardiol, Orange, CA 92868 USA

[2] Emory Univ, Atlanta, GA 30322 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2010年 / 55卷 / 03期

关键词：

angiography; coronary stenoses; severity; physiology; FRACTIONAL FLOW RESERVE; INTRACORONARY PRESSURE MEASUREMENTS; ACUTE MYOCARDIAL-INFARCTION; OPTIMAL MEDICAL THERAPY; ARTERY-DISEASE; VELOCITY-MEASUREMENTS; FUNCTIONAL SEVERITY; MULTIVESSEL DISEASE; FOLLOW-UP; INTERMEDIATE STENOSIS;

D O I：

10.1016/j.jacc.2009.06.062

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Over the last 15 years, the use of invasive coronary physiology in the catheterization laboratory has demonstrated favorable outcomes for decision making in patients with intermediate single-vessel stenoses, complex bifurcation and ostial branch stenoses, multivessel coronary artery disease, and left main stenoses. A recent large multicenter study (FAME [FFR versus Angiography for Multivessel Evaluation]) found that a physiologically-guided approach was superior to the standard angiographically-guided approach for percutaneous revascularization in patients with multivessel coronary artery disease. This review addresses selected pertinent concepts and studies supporting the integration of coronary physiology in the catheterization laboratory for optimal patient outcomes. (J Am Coll Cardiol 2010; 55: 173-85) (C) 2010 by the American College of Cardiology Foundation

引用

页码：173 / 185

页数：13

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