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Intracoronary Hemodynamics

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Cardiovascular Hemodynamics

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Selective coronary angiography is the gold standard for evaluating the presence and extent of epicardial coronary artery disease. Despite advances in fluoroscopic imaging and catheterization techniques, the evaluation of the intermediate coronary stenosis (luminal diameter narrowing between 40% and 70%) remains a challenge for invasive cardiologists secondary to multiple issues. Vessel characteristics and limitations related to image acquisition impair the accuracy of lesion severity assessment despite obtaining coronary angiograms in multiple fluoroscopic views. Intravascular visualization techniques such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT) augment anatomical analysis but do not necessarily provide information on the functional significance of a lesion. Coronary flow reserve (CFR), fractional flow reserve (FFR), and instantaneous wave-free radio (iFR) have been developed to evaluate the physiologic or functional significance of coronary lesions in the cardiac catheterization suite.

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Author information

Authors and Affiliations

  1. York Hospital, WellSpan Health System, York, PA, USA

    James E. Harvey

  2. Cleveland Clinic, Cleveland, OH, USA

    Stephen G. Ellis

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  1. James E. Harvey
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  2. Stephen G. Ellis
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Editor information

Editors and Affiliations

  1. Premier Health Advocates, Beachwood, OH, USA

    Arman T. Askari

  2. Gill Heart and Vascular Institute, University of Kentucky HealthCare, Lexington, KY, USA

    Adrian W. Messerli

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Harvey, J.E., Ellis, S.G. (2019). Intracoronary Hemodynamics. In: Askari, A., Messerli, A. (eds) Cardiovascular Hemodynamics. Contemporary Cardiology. Humana, Cham. https://doi.org/10.1007/978-3-030-19131-3_22

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  • DOI: https://doi.org/10.1007/978-3-030-19131-3_22

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-19130-6

  • Online ISBN: 978-3-030-19131-3

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