Fractional Flow Reserve Method in Cardiac Catheterization Laboratory without Cardiosurgical Backup: Initial Experiences

Fractional Flow Reserve Method in Cardiac Catheterization Laboratory without Cardiosurgical Backup: Initial Experiences

Background: Coronary artery disease is the most common cause of death in a modern world. This dictates the development a network of Catheterization laboratories without cardiosurgical capabilities.Aim: We postulate that the most valuable tool in the decision process on myocardial revascularization i...

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Veröffentlicht in:Open access Macedonian journal of medical sciences 2013-12, Vol.1 (1), p.50-53
Hauptverfasser: Simic, Ivan, Zdravkovic, Vladimir, Vucic, Rada, Iric-Cupic, Violeta, Davidovic, Goran, Ignjatovic, Vladimir, Bankovic, Dragic
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container_issue 1
container_start_page 50
container_title Open access Macedonian journal of medical sciences
container_volume 1
creator Simic, Ivan
Zdravkovic, Vladimir
Vucic, Rada
Iric-Cupic, Violeta
Davidovic, Goran
Ignjatovic, Vladimir
Bankovic, Dragic
description Background: Coronary artery disease is the most common cause of death in a modern world. This dictates the development a network of Catheterization laboratories without cardiosurgical capabilities.Aim: We postulate that the most valuable tool in the decision process on myocardial revascularization is fractional flow reserve (FFR), especially when we deal with borderline coronary lesions.Material and Methods: A total of 72 patients with 94 intermediate coronary stenosis (30%-70% diameter reduction) were included in this study. We tested FFR and angiography based decision model on myocardial revascularization.Results:  Mean FFR value on left anterior descending coronary artery (LAD) was lower than in others two arteries (p=0.017). FFR after percutaneous coronary intervention (PCI) was significantly better (p
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This dictates the development a network of Catheterization laboratories without cardiosurgical capabilities.Aim: We postulate that the most valuable tool in the decision process on myocardial revascularization is fractional flow reserve (FFR), especially when we deal with borderline coronary lesions.Material and Methods: A total of 72 patients with 94 intermediate coronary stenosis (30%-70% diameter reduction) were included in this study. We tested FFR and angiography based decision model on myocardial revascularization.Results:  Mean FFR value on left anterior descending coronary artery (LAD) was lower than in others two arteries (p=0.017). FFR after percutaneous coronary intervention (PCI) was significantly better (p&lt;0.0001). The decision for PCI predominates before FFR diagnostics, but after FFR the decision is quite opposite. There is a weak negative correlation between FFR and diameter of stenosis assessed by angiography (r= - 0.245 p=0.038) and positive correlation between diameter of stenosis assessed by angiography and by quantitative coronary angiography (QCA) (r=0.406 p&lt;0.0005).Conclusion:  Our results strongly suggest that FFR is necessary tool in centers without possibilities of heart team onsite consultation and that prevents numerous unnecessary PCI.</description><identifier>ISSN: 1857-9655</identifier><identifier>EISSN: 1857-9655</identifier><identifier>DOI: 10.3889/oamjms.2013.010</identifier><language>eng</language><ispartof>Open access Macedonian journal of medical sciences, 2013-12, Vol.1 (1), p.50-53</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-crossref_primary_10_3889_oamjms_2013_0103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Simic, Ivan</creatorcontrib><creatorcontrib>Zdravkovic, Vladimir</creatorcontrib><creatorcontrib>Vucic, Rada</creatorcontrib><creatorcontrib>Iric-Cupic, Violeta</creatorcontrib><creatorcontrib>Davidovic, Goran</creatorcontrib><creatorcontrib>Ignjatovic, Vladimir</creatorcontrib><creatorcontrib>Bankovic, Dragic</creatorcontrib><title>Fractional Flow Reserve Method in Cardiac Catheterization Laboratory without Cardiosurgical Backup: Initial Experiences</title><title>Open access Macedonian journal of medical sciences</title><description>Background: Coronary artery disease is the most common cause of death in a modern world. 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