Fractional Flow Reserve Assessment of a Significant Coronary Stenosis Masked by a Downstream Serial Lesion. (27th July 2016)

• Record Type: Journal Article
• Authors: Liu, Lawrence Yu-Min; Wu, Hsu-Ping; Lin, Po-Lin
• Other Names: Sahin Tayfun Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2016(2016)
• Publication Date: 2016-07-27
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2016/1987238
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : Fractional flow reserve (FFR) has been recognized as an effective tool to determine functional significance in intermediate coronary lesions and FFR-guided percutaneous coronary intervention (PCI) improves clinical outcomes. However, hemodynamic interaction between serial stenoses within one coronary artery complicates the assessment of functional severity of each individual lesion. We present a case in which FFR measurement by intracoronary bolus injection of adenosine helps to make appropriate revascularization decision in serial stenoses when the procedures are performed systemically and properly.