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Applied coronary physiology for planning and guidance of percutaneous coronary interventions. A clinical consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the European Society of Cardiology

Escaned, Javier (författare)
Univ Complutense Madrid, Hosp Clin San Carlos IdISCC, Calle Prof Martin Lagos, Madrid 28040, Spain.;Univ Complutense Madrid, Hosp Clin San Carlos IdISCC, Madrid, Spain.
Berry, Colin (författare)
Univ Glasgow, Inst Cardiovasc & Med Sci, BHF Glasgow Cardiovasc Res Ctr, Glasgow, Scotland.
De Bruyne, Bernard (författare)
Cardiovasc Ctr Aalst, OLV Clin, Aalst, Belgium.;Lausanne Univ Ctr Hosp, Dept Cardiol, Lausanne, Switzerland.
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Shabbir, Asad (författare)
Univ Complutense Madrid, Hosp Clin San Carlos IdISCC, Madrid, Spain.
Collet, Carlos (författare)
Cardiovasc Ctr Aalst, OLV Clin, Aalst, Belgium.
Lee, Joo Myung (författare)
Sungkyunkwan Univ, Heart Vasc Stroke Inst, Samsung Med Ctr, Div Cardiol,Dept Internal Med,Sch Med, Seoul, South Korea.
Appelman, Yolande (författare)
Amsterdam UMC, Dept Cardiol, Amsterdam Cardiovasc Sci, Amsterdam, Netherlands.
Barbato, Emanuele (författare)
Cardiovasc Ctr Aalst, OLV Clin, Aalst, Belgium.;Federico II Univ Naples, Dept Adv Biomed Sci, Div Cardiol, Naples, Italy.
Biscaglia, Simone (författare)
Azienda Ospedaliero Univ Ferrara, Cardiol Unit, Cona, Italy.
Buszman, Piotr P. (författare)
Andrzej Frycz Modrzewski Krakow Univ, Krakow, Poland.;IRCCS San Raffaele Sci Inst, Intervent Cardiol Unit, Milan, Italy.
Campo, Gianluca (författare)
Azienda Ospedaliero Univ Ferrara, Cardiol Unit, Cona, Italy.
Chieffo, Alaide (författare)
Cardiovasc Res Inst Dublin, Dublin, Ireland.
Colleran, Roisin (författare)
Mater Private Network, Dept Cardiol, Dublin, Ireland.;RCSI Univ Med & Hlth Sci, Sch Med, Dublin, Ireland.;Golden Jubilee Natl Hosp, West Scotland Reg Heart & Lung Ctr, Glasgow, Scotland.
Collison, Damien (författare)
Hammersmith Hosp, Imperial Coll Healthcare NHS Trust, London, England.
Davies, Justin (författare)
Alto Vicentino Hosp, Dept Cardiol, Santorso, Italy.
Giacoppo, Daniele (författare)
Mater Private Network, Dept Cardiol, Dublin, Ireland.;RCSI Univ Med & Hlth Sci, Sch Med, Dublin, Ireland.;German Heart Ctr Munich, ISARes, Munich, Germany.;Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark.
Holm, Niels R. (författare)
St Francis Hosp & Heart Ctr, Roslyn, NY USA.
Jeremias, Allen (författare)
Maasstad Hosp, Dept Cardiol, Rotterdam, Netherlands.
Paradies, Valeria (författare)
Gottsegen Natl Cardiovasc Ctr, Budapest, Hungary.
Piroth, Zsolt (författare)
Ctr Hosp Lisboa Ocidental, Hosp Santa Cruz, Serv Cardiol, Unidade Intervencao Cardiovasc, Lisbon, Portugal.
Raposo, Luis (författare)
Hillel Yaffe Med Ctr, Hadera, Israel.
Roguin, Ariel (författare)
Technion, Fac Med, Haifa, Israel.;Heart & Diabet Ctr North Rhine Westphalia, Bad Oeynhausen, Germany.
Rudolph, Tanja (författare)
Sarno, Giovanna (författare)
Med Univ Graz, Dept Cardiol, Graz, Austria.
Sen, Sayan (författare)
Alto Vicentino Hosp, Dept Cardiol, Santorso, Italy.
Toth, Gabor G. (författare)
Uppsala universitet,Kardiologi
Van Belle, Eric (författare)
Inst Pasteur, Dept Cardiol, Lille, France.;Catharina Hosp, Dept Cardiol, Eindhoven, Netherlands.
Zimmermann, Frederik M. (författare)
Maria Cecilia Hosp, Intervent Cardiol Unit, GVM Care & Res, Cotignola, Italy.
Dudek, Dariusz (författare)
Jagiellonian Univ, Inst Cardiol, Med Coll, Krakow, Poland.;Human Univ, Dept Biomed Sci, Milan, Italy.
Stefanini, Giulio (författare)
Human Res Hosp IRCCS, Milan, Italy.
Tarantini, Giuseppe (författare)
Univ Padua, Med Sch, Padua, Italy.
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Univ Complutense Madrid, Hosp Clin San Carlos IdISCC, Calle Prof Martin Lagos, Madrid 28040, Spain;Univ Complutense Madrid, Hosp Clin San Carlos IdISCC, Madrid, Spain. Univ Glasgow, Inst Cardiovasc & Med Sci, BHF Glasgow Cardiovasc Res Ctr, Glasgow, Scotland. (creator_code:org_t)
Europa Digital & Publishing, 2023
2023
Engelska.
Ingår i: EuroIntervention. - : Europa Digital & Publishing. - 1774-024X .- 1969-6213. ; 19:6, s. 464-
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.4...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • The clinical value of fractional flow reserve and non-hyperaemic pressure ratios are well established in determining an indication for percutaneous coronary intervention (PCI) in patients with coronary artery disease (CAD). In addition, over the last 5 years we have witnessed a shift towards the use of physio-logy to enhance procedural planning, assess post-PCI functional results, and guide PCI optimisation. In this regard, clinical studies have reported compelling data supporting the use of longitudinal vessel analysis, obtained with pressure guidewire pullbacks, to better understand how obstructive CAD contributes to myocardial ischaemia, to establish the likelihood of functionally successful PCI, to identify the presence and location of residual flow-limiting stenoses and to predict long-term outcomes. The introduction of new functional coronary angiography tools, which merge angiographic information with fluid dynamic equations to deliver information equivalent to intracoronary pressure measurements, are now available and potentially also applicable to these endeavours. Furthermore, the ability of longitudinal vessel analysis to predict the functional results of stenting has played an integral role in the evolving field of simulated PCI. Nevertheless, it is important to have an awareness of the value and challenges of physiology-guided PCI in specific clinical and anatomical contexts. The main aim of this European Association of Percutaneous Cardiovascular Interventions clinical consensus statement is to offer up-to-date evidence and expert opin-ion on the use of applied coronary physiology for procedural PCI planning, disease pattern recognition and post-PCI optimisation.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

fractional flow reserve
intravascular ultrasound
non-invasive imaging

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

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