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Introduction to Invasive Assessment of the Coronary Circulation

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 195))

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Abstract

The problem of knowing whether a given epicardial stenosis can be held responsible for myocardial ischemia, and conversely, whether the patient will be improved by the revascularization of that stenosis, are among the most common and important questions in the catheterization laboratory. Traditionally, cardiologists base their clinical decisions about the adequacy or inadequacy of myocardial perfusion in any given patient on inferences or predictions deduced from patients’ symptoms, non-invasive testing, and morphological data provided by the coronary angiogram. Direct information about myocardial perfusion is mostly not available. Boosted by the emergence of interventional cardiology, several catheter-based techniques have been developed to assist cardiologists in clinical decision-making with respect to the appropriateness of revascularization of a particular stenosis. These techniques are based on a morphological or a functional approach and are briefly reviewed in this chapter.

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  1. Catharina Hospital, Eindhoven, The Netherlands

    Nico H. J. Pijls

  2. Cardiovascular Center, Aalst, Belgium

    Bernard De Bruyne

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Pijls, N.H.J., De Bruyne, B. (1997). Introduction to Invasive Assessment of the Coronary Circulation. In: Coronary Pressure. Developments in Cardiovascular Medicine, vol 195. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8834-8_3

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  • DOI: https://doi.org/10.1007/978-94-015-8834-8_3

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