Atlas of FFR-Guided Percutaneous Coronary Interventions / edited by Tommaso Gori, Massimo Fineschi.

Format:

Book

Contributor:

Gori, Tommaso., Editor.

Fineschi, Massimo., Editor.

Language:

English

Subjects (All):

Endoscopic surgery.

Interventional radiology.

Minimally Invasive Surgery.

Interventional Radiology.

Local Subjects:

Minimally Invasive Surgery.

Interventional Radiology.

Physical Description:

1 online resource (XVI, 211 p. 136 illus., 104 illus. in color.)

Edition:

1st ed. 2016.

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2016.

Summary:

This book details the theory and practice of fractional flow reserve (FFR)-guided coronary intervention, a technique that, even with complex results, gives sense and a rationale to daily decisions in the interventional suite. FFR guidance provides detailed information on coronary hemodynamics for the interventional cardiologist. This technique has profound practical implications for therapeutic decisions and for the prognosis of patients. This Atlas of FFR-Guided Percutaneous Coronary Interventions provides practicing physicians clear information to understand both the complexity of the technique and the correct way to apply it. It is designed both to assist younger faculty and those in training, and to act as a clinical resource for more experienced practitioners. Using the clinical cases outlined, the reader can learn to appreciate the pitfalls, tips and tricks that simplify the performance and interpretation of FFR and iFR. .

Contents:

Section I – Setting the Stage

Setting the Stage: How To Perform FFR

Section II – Clinical Cases

Starting Easy: FFR in a High-Grade Stenosis

Another Easy One: This Time in the Other Direction

A False-Positive FFR

A Negative FFR

Reproducibility of the Result

Decision-making in a Long Lesion: Full Metal Jacket or Spot Stenting?

When the Pd/Pa Is Already Significant: A “Quick and Clean” FFR

Contrast-induced Hyperemia and FFR: Slightly Slower But Still “Quick and Clean”

Reproducibility of FFR

Long-term Repeatability of FFR: Twin Measurements with Two Years In-between

A Positive FFR in the Absence of Visible Stenosis: Where Is the Problem?

Instant Wave-free Ratio Assessment

Simplifying One’s Life: From Three-Vessel to One-Vessel Disease.-FFR to Determine Stent Length: When the Play Gets Tough

Multiple Lesions, Multiple Measures

Sequential Lesions and Bioresorbable Scaffolds

FFR for a Lesion in the Left Main: None is So Blind As Those Who Will Not See

Imaging of Ostial Lesions: How Reliable Is It?

A Complex Left Main Disease

Bifurcation Lesions: A Quicker Solution for Re-entry

A Bifurcation with Surprise

A Wire in Jail

Mismatch Between Imaging and Functional Relevance of Coronary Stenoses: Seeing Is Not Believing

FFR or IVUS for Small Vessels?

Same IVUS, Same Vessel, Different FFR

In-Stent Restenosis

In-stent Restenosis with a Twist

Using FFR to Detect Ischemia in Myocardial Bridge Lesions

ACS–NSTEMI

A Normal Fractional and Coronary Flow Reserve

Impaired Fractional and Coronary Flow Reserve

High-grade Epicardial Stenosis with Microvascular Compensation

Threshold FFR, Impaired CFR, and IMR: Macrovascular or Microvascular Disease?

Coronary Slow Flow in a Patient with Myocarditis

A Complex Combination of Microvascular and MacrovascularDiseases

The Impact of Venous Pressure on FFR: Do Diuretics Affect FFR?

FFR in a Bypass

Heart Failure: Really Idiopathic?