[Functional assessment of coronary stenosis: alternative hyperemic, nonhyperemic, and angiographic indexes]
- PMID: 40415782
- PMCID: PMC12097319
- DOI: 10.24875/RECIC.M24000446
[Functional assessment of coronary stenosis: alternative hyperemic, nonhyperemic, and angiographic indexes]
Abstract
Assessment of the functional significance of coronary artery stenoses to guide percutaneous coronary intervention is widely performed using pressure wire fractional flow reserve during adenosine- or adenosine triphosphate-induced hyperemia. However, the use of fractional flow reserve may be limited by the contraindications and adverse effects of this hyperemic stimulus, as well as the potential risk of vessel damage from the pressure wire. This review will discuss alternative evaluation methods, including various hyperemic agents, nonhyperemic pressure ratios, and angiography-based indices.
Keywords: Angiography; Fractional flow reserve; Hyperemia; Percutaneous coronary intervention.
Copyright: © 2024 Sociedad Española de Cardiología.
Conflict of interest statement
CONFLICTO DE INTERESES: Ninguno.
References
-
- Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41:407-477. - PubMed
- Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41:407–477. - PubMed
-
- Van de Hoef TP, Siebes M, Spaan JA, Piek JJ. Fundamentals in clinical coronary physiology:why coronary flow is more important than coronary pressure. Eur Heart J. 2015;36;3312-3319. - PubMed
- Van de Hoef TP, Siebes M, Spaan JA, Piek JJ. Fundamentals in clinical coronary physiology:why coronary flow is more important than coronary pressure. Eur Heart J. 2015;36:3312–3319. - PubMed
-
- Van der Voort PH, van Hagen E, Hendrix G, van Gelder B, Bech JW, Pijls NH. Comparison of intravenous adenosine to intracoronary papaverine for calculation of pressure-derived fractional flow reserve. Cathet Cardiovasc Diagn. 1996;39:120-125. - PubMed
- Van der Voort PH, van Hagen E, Hendrix G, van Gelder B, Bech JW, Pijls NH. Comparison of intravenous adenosine to intracoronary papaverine for calculation of pressure-derived fractional flow reserve. Cathet Cardiovasc Diagn. 1996;39:120–125. - PubMed
-
- Matsumoto H, Mikuri M, Masaki R, et al. Feasibility of intracoronary nicorandil for inducing hyperemia on fractional flow reserve measurement:Comparison with intracoronary papaverine. Int J Cardiol. 2020;314:1-6. - PubMed
- Matsumoto H, Mikuri M, Masaki R, et al. Feasibility of intracoronary nicorandil for inducing hyperemia on fractional flow reserve measurement:Comparison with intracoronary papaverine. Int J Cardiol. 2020;314:1–6. - PubMed
-
- Nakayama M, Tanaka N, Yamashita J, Iwasaki K. Confirmation of maximal hyperemia by the incremental dose of intracoronary papaverine. Cardiovasc Interv Ther. 2020;35:371-378. - PubMed
- Nakayama M, Tanaka N, Yamashita J, Iwasaki K. Confirmation of maximal hyperemia by the incremental dose of intracoronary papaverine. Cardiovasc Interv Ther. 2020;35:371–378. - PubMed
Publication types
LinkOut - more resources
Full Text Sources