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Fractional Flow Reserve for Evaluation of Coronary Interventions

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Coronary Pressure

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

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Abstract

Are there any values of myocardial fractional flow reserve (FFR myo ) after a coronary intervention, indicating that the result of the procedure was excellent, moderate, or insufficient ?

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References

  1. Libby P, Warner SJC, Salomon RN, Birinyi LK. Production of platelet-derived growth factor-like mitogen by smooth muscle cells from human atheroma. N Engl J Med 1988; 318: 1493–1498.

    Article  PubMed  CAS  Google Scholar 

  2. Rensing BJ, Hermans WRM, Beatt KJ, Serruys PW. Quantitative angiographic assessment of elastic recoil after PTCA. Am J Cardiol 1990; 66: 1039–1044

    Google Scholar 

  3. Essed CE, Van den Brand M, Becker AE. Transluminal coronary angioplasty and early restenosis: fibrocellular occlusion after wall laceration. Br Heart J 1983; 49: 393–396.

    Google Scholar 

  4. Serruys PW, Straus BH, Van Beusekom H, Van der Giessen WJ. Stenting of coronary arteries: has a modern Pandora’s box been opened ? JAm Coll Cardiol 1991; 17: 143B - 154B.

    Article  CAS  Google Scholar 

  5. Serruys PW, Di Mario C. Prognostic value of coronary flow velocity and diameter stenosis in assessing the short and long-term outcome of balloon angioplasty: The Debate study (Doppler Endpoint Balloon Angioplasty Trial Europe). Circulation 1997; 96: 33693377.

    Google Scholar 

  6. Di Mario C and the DESTINI-CFR study group. Doppler and QCA guided aggressive PTCA has the same target lesion revascularization as stent deployment: 6-month-results of the DESTINI-study. JAm Coll Cardiol 1999; 33: 47A.

    Google Scholar 

  7. De Bruyne B and Debate Il investigators. A randomized study to evaluate provisional stenting after guided balloon angioplasty. Circulation 1998; 98: I - 498.

    Google Scholar 

  8. Lafont A and the FROSST study group. The French optimal stenting trial: a multicenter, prospective, randomized study comparing systematic stenting to angiography/coronary flow reserve guided stenting: 6-month clinical and angiographic follow-up. J Am Coll Cardiol 1999; 33: 89A.

    Google Scholar 

  9. Pijls NHJ, Van Gelder B, Van der Voort P, Peels K, Bracke FALE, Bonnier HJRM, El Gamal MIH. Fractional flow reserve: a useful index to evaluate the influence of an epicardial coronary stenosis on myocardial blood flow. Circulation, 1995: 92: 3183–3193.

    Article  PubMed  CAS  Google Scholar 

  10. Pijls NHJ, De Bruyne B, Peels K, Van der Voort PH, Bonnier HJRM. Bartunel J, Koolen JJ. Measurement of fractional flow reserve to assess the functional severity of coronary stenoses. N Engl J Med. 1996; 334: 1703–1708.

    Article  PubMed  CAS  Google Scholar 

  11. Reiber JHC, Serruys PW, Kooijman CJ, Wijns W, Slager CJ, Gerbrands JJ, Schuurbiers JCH, Den Boer A, Hugenholtz PG. Assessment of short-, medium-, and long-term variations in arterial dimensions from computer-assisted quantification of coronary cineangiograms. Circulation, 1985; 71: 280–288.

    Article  PubMed  CAS  Google Scholar 

  12. Rensing Bj, Hermans WR, Vos J, Tijssen JG, Rutsch W, Danschin N, Heyndrickx GR, Mast EG, Wijns W, Serruys PW, for the Coronary Artery Restenosis Prevention on Repeated Thromboxane Antagonism (CARPORT) Study Group. Luminal narrowing after percutaneous transluminal coronary angioplasty: a study of clinical, procedural, and lesional factors related to long-term angiographie outcome. Circulation 1993; 88: 975985.

    Google Scholar 

  13. Strauss BH, Escaned J, Foley DP, Di Mario C, Haase J, Keane D, Hermans WRM, De Feyter PJ, Serruys PW. Technologic considerations and practical limitations in the use of quantitative angiography during percutaneous coronary recanalization. Prog Cardiovasc Dis. 1994; 36: 343–362.

    Article  PubMed  CAS  Google Scholar 

  14. De Bruyne B, Bartunel J, Sys SU, Pijls NHJ, Heyndrickx GR, Wijns W. Simultaneous coronary pressure and flow velocity measurements in humans, feasibility, reproducibility, and hemodynamic dependence of coronary flow velocity reserve, hyperemic flow versus pressure slope index, and fractional flow reserve. Circulation 1996; 94: 1843–1849.

    Article  Google Scholar 

  15. De Bruyne B, Bartunek J, Sys SU, Heyndrickx GR. Relation between myocardial fractional flow reserve calculated from coronary pressure measurements and exercise-induced myocardial ischemia. Circulation 1995; 92: 39–46.

    Article  PubMed  Google Scholar 

  16. Bech GJW, De Bruyne B Bonnier HJRM, Bartunek J, Wijns W, Peels K, Heyndrickx GR, Koolen JJ, Pijls NHJ. Long-term follow-up after deferral op percutaneous transluminal coronary angioplasty of intermediate stenosis on the basis of coronary pressure measurement. JAm Coll Cardiol 1998; 31: 841–847.

    Article  CAS  Google Scholar 

  17. Serruys PW, Luijten HE, Beatt KJ, Geuskens R, De Feyter PJ, Van den Brand M, Reiber JHC, Ten Katen HJ, Van Es GA, Hugenholtz PG. Incidence of restenosis after successful coronary angioplasty: a time-related phenomenon: a quantitative angiographie study in 342 consecutive patients at 1, 2, 3, and 4 months. Circulation 1988; 77: 361–371.

    Article  PubMed  CAS  Google Scholar 

  18. Mintz GS, Popma JJ, Pichard AD, Kent KM, Lowell SF, Chuang YC, Griffin J, Leon M. Intravascular ultrasound preictors of restenosis after percutaneous transcatheter coronary revascularization. JAm Coll Cardiol 1996; 27: 1678–1687.

    Article  CAS  Google Scholar 

  19. Kimura T, Kaburagi S, Tamura T, Yoki H, Nakagawa Y, Yokoi H, Hamasaki N, Nosaka H, Nobuyoshi M, Mintz GS, Popma JJ, Leon MB. Remodeling of human coronary arteries undergoing angioplasty or atherectomy. Circulation 1997; 96: 475–483.

    Article  PubMed  CAS  Google Scholar 

  20. Kern MJ, De Bruyne B, Pijls NHJ. From research to clinical practice: current role of intracoronary physiologically based decision making in the cardiac catheterization laboratory. JAm Coll Cardiol 1997; 30: 613–620.

    Article  CAS  Google Scholar 

  21. Gould KL, Kelly KO, Bolson EL. Experimental validation of quantitative coronary angiography for determining pressure flow characteristics of coronary stenosis. Circulation 1982; 66: 930–937.

    Article  PubMed  CAS  Google Scholar 

  22. Serruys PW, de Jaegere P, Kiemeney F, et al, for the Benestent study group. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. N Engl J Med 1994; 331: 489–495.

    Article  PubMed  CAS  Google Scholar 

  23. Fischman DL, Leon MB, Baim DS et al. A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Ailed 1994; 331: 496–501.

    Article  CAS  Google Scholar 

  24. Serruys PW, Van Hout B, Bonnier H, Legrand V, Garcia E, Macaya C, Sousa E, Van der Giessen W, Colombo A, Seabra-Gomes R, Kiemeneij F, Ruygrok P, Ormiston J, F,manuelsson H, Fajadet J, Haude M, Klugmann S, Morel MA. Randomized comparison of implantation of heparin-coated stents with balloon angioplasty in selected patients with coronary artery disease (BENESTENT II). Lancet 1998; 352: 673–681.

    Article  PubMed  CAS  Google Scholar 

  25. Honye J. Mahon DJ, Jain A, White CJ, Ramee SR, Wallis JB, Al-Zarka A, Tobis JM. Morphological effects of coronary balloon angioplasty in vivo assessed by intravascular ultrasound imaging. Circulation 1992; 85: 1012–1025.

    Article  PubMed  CAS  Google Scholar 

  26. Hodgson JM, Reddy KG, Suneja R, Nair RN, Lesnefsky EJ, Sheehan HM. Intracoronary ultrasound imaging: correlation of plaque morpholopy with angiography, clinical syndrome and procedural results in patients undergoing coronary angioplasty. J Am Coll Cardiol 1993; 21: 35–44.

    Article  PubMed  CAS  Google Scholar 

  27. Akasaka. (personal communication)

    Google Scholar 

  28. Kimura T, Yokoi H, Nakagawa Y, Tamura T, Kaburagi S, Sawade Y, Sato Y, Hamasaki N, Nosaka H, Nobuyoshi M. Three-year follow-up after implantation of metallic coronary artery stents. N Engl J Med 1996; 334: 561–566.

    Article  PubMed  CAS  Google Scholar 

  29. Reimers B, Moussa 1, Akiyama T, Tucci G, Ferraro M, Martini G, Blengino C, Di Mario C, Colombo A. Long-term clinical follow-up after successful repeat percutaneous intervention for stent restenosis. JAm Coll Cardiol 1997; 30: 186–192.

    Article  CAS  Google Scholar 

  30. Colombo A, Hall P, Nakamura S, Almagor Y, Maiello L, Martini G, Gaglione A, Goldberg SL, Tobis JM. Intravascular stenting without anticoagulation, accomplished with intravascular ultrasound guidance. Circulation 1995; 91: 1676–1688.

    Article  PubMed  CAS  Google Scholar 

  31. Serruys PW, Di Mario C. Who was thrombogenetic: the stent or the docter ? Circulation 1995; 91: 1891–1893.

    Article  PubMed  CAS  Google Scholar 

  32. Gorge G, Haude M, Ge J, Voegele E, Gerber T, Rupprecht HJ, Meyer J, Erbel R. Intravascular ultrasound after low and high inflation pressure coronary stent implantation. JAm Coll Cardiol 1995; 26: 725–730.

    Article  CAS  Google Scholar 

  33. Kern MJ, De Bruyne B, Pijls NHJ. From research to clinical practice: current role of physiologically based decision making in the catheterization laboratory. J Am Coll Cardiol 1997 (in press).

    Google Scholar 

  34. Hausleiter J, Nolte CWT, Jost W, Wiese B, Sturm M, Lichtlen PR. Comparison of different quantitative coronary analysis systems: ARTEK, CAAS and CMS. Cathet Cardiovasc Diagn 1996; 36: 14–22.

    Article  Google Scholar 

  35. Van der Zwet PMJ, Reiber JHC. A new approach for the quantification of complex lesion morphology: the gradient field transform-basic principles and validation results. J Am Coll Cardiol 1994; 24: 216–224.

    Article  PubMed  Google Scholar 

  36. Serruys PW, de Jaegere P, Bertrand M, Kober G, Marquis JF, Piessens J, Uebis R, Valeix B, Wiegand V. Morphologic change in coronary artery stenosis with the Medtronic Wiktor stent: initial results from the core laboratory for quantitative angiography. Cathet cardiovasc Diagn 1991; 24: 237–245.

    Article  PubMed  CAS  Google Scholar 

  37. Di Mario C. gorge G, Peters R, Kearney P, Pinto F, Hausmann D, van Birgelen C, Colombo A, Mudra H, Roelandt J, Erbel R. Clinical applications and image interpretation in intracoronary ultrasound. Eur Heart J 1998; 19: 207–229.

    Google Scholar 

  38. Schomig A, Neumann FJ, Kastrati A, Schuhlen H, Blasini R, Hadamitzky ????, Walter H, Zitmann-Roth EM, Richardt G, Alt E, Schmitt C, Ulm K. A randomized comparison of antiplatelt and anticoagulant therapy after the placement of coronary-artery stents. N Engi JMed 1996; 334: 1084–1089.

    Article  CAS  Google Scholar 

  39. Nakamura S, Hall P, Gaglione A, Tiecco F, Di Maggio M, Maiello L, Martini G, Colombo A. High pressure assisted coronary stent implantation accomplished without intravascular guidance and subsequent anticoagulation. JAm coli Cardiol 1997; 29: 2127.

    Google Scholar 

  40. Fernandez-Avilles F, Alonso JJ, Duran JM, Gimeno F, Garcia-Moran R, Paniagua J, Garcimartin I. High pressure increase late loss after coronary stenting. JAm Coll Cardiol 1997; 29: 369A. abstract.

    Google Scholar 

  41. Savage MP, Fischman DL, Douglas JS, Pepine CJ, Werner JA, Bailey SR, Rake R Goldberg S. The dark side of high pressure stent deployment. J Am Coll Cardiol 1997; 29: 368A. abstract.

    Google Scholar 

  42. Nicosia A, van der Giessen WJ, Airiian SG, von Birgelen C, de Feyter PJ, Serruys PW. Is intravascular ultrasound after coronary stenting a safe procedure ? Three cases of stent damage atributable to ICUS in a tantalum coil stent. Cathet Cardiovasc Diagn 1997; 40: 265–70.

    Article  PubMed  CAS  Google Scholar 

  43. Werner GS, Gastmann O, Ferrari M, Schuenemann S, Knies A, Diedrich J, Kreuzer H. Risk factors for acute and subacute stent thrombosis after high pressure stent implantation: a study by intravascular ultrasound. Am Heart J 1998; 135: 300–309.

    Google Scholar 

  44. Vrints CJ, Claeys MJ, Bosmans J, Conraads V, Snoeck JP. Effect of stenting on coronary flow velocity reserve: comparison of coil and tubular stents. Heart 1999; 82: 465–470.

    PubMed  CAS  Google Scholar 

  45. Hanekamp CEE, Koolen JJ, Is NHJ, Michels HR, Bonnier JJRM. Comparison of QCA, intravascular ultrasound, and coronary pressure measurement to assess optimum stent deployment. Circulation 1999; 99: 1015–1021.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Catharina Hospital, Eindhoven, The Netherlands

    Nico H. J. Pijls

  2. Cardiovascular Center, Aalst, Belgium

    Bernard De Bruyne

Authors
  1. Nico H. J. Pijls
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  2. Bernard De Bruyne
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Pijls, N.H.J., De Bruyne, B. (2000). Fractional Flow Reserve for Evaluation of Coronary Interventions. In: Coronary Pressure. Developments in Cardiovascular Medicine, vol 195. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9564-3_14

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  • DOI: https://doi.org/10.1007/978-94-015-9564-3_14

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-5398-5

  • Online ISBN: 978-94-015-9564-3

  • eBook Packages: Springer Book Archive

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