Case Report: Invasive and Non-invasive Hemodynamic Assessment of Coronary Artery Disease: Strengths and Weaknesses

Frontiers in Cardiovascular Medicine

article

Ganesh Gajanan¹  Saurabhi Samant¹  Chad Hovseth¹  Yiannis S. Chatzizisis¹ 

[1] Cardiovascular Division, University of Nebraska Medical Center

关键词: fractional flow reserve;    vFFR;    CT FFR;    CCTA;    coronary physiology;    coronary artery disease;    coronary CT angiography;   

DOI  :  10.3389/fcvm.2022.885249

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Coronary angiography has been the gold standard for assessment of coronary artery disease (CAD) and guidance for percutaneous coronary interventions (PCI). Physiology–guided PCI has shown increased safety and efficacy, improved resource utilization, and better clinical outcomes in patients with stable angina and acute coronary syndromes. The three cases presented and discussed in this report illustrate the strengths and weaknesses of the available invasive and non-invasive methods for the physiological assessment of CAD. As technology evolves, invasive non-wire-based (angiography-derived FFR) and non-invasive (FFR CT ) modalities for the hemodynamic assessment of CAD appear to provide reliable and user-friendly alternatives to the gold standard invasive wire-based techniques. Interventional cardiologists and cardiovascular healthcare providers should be familiar with the strengths and weaknesses of the available hemodynamic assessment modalities.

【 授权许可】

CC BY