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Physiologic Assessment after Coronary Stent Implantation
The presence of myocardial ischemia is a prerequisite for the benefit of coronary revascularization. In the cardiac catheterization laboratory, fractional flow reserve and non-hyperemic pressure ratios are used to define the ischemia-causing coronary stenosis, and several randomized studies showed t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Cardiology
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925968/ https://www.ncbi.nlm.nih.gov/pubmed/33655719 http://dx.doi.org/10.4070/kcj.2020.0548 |
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author | Hwang, Doyeon Yang, Seokhun Zhang, Jinlong Koo, Bon-Kwon |
author_facet | Hwang, Doyeon Yang, Seokhun Zhang, Jinlong Koo, Bon-Kwon |
author_sort | Hwang, Doyeon |
collection | PubMed |
description | The presence of myocardial ischemia is a prerequisite for the benefit of coronary revascularization. In the cardiac catheterization laboratory, fractional flow reserve and non-hyperemic pressure ratios are used to define the ischemia-causing coronary stenosis, and several randomized studies showed the benefit of physiology-guided coronary revascularization. However, physiology-guided revascularization does not necessarily guarantee the relief of ischemia. Recent studies reported that residual ischemia might exist in up to 15–20% of cases after angiographically successful percutaneous coronary intervention (PCI). Therefore, post-PCI physiologic assessment is necessary for judging the appropriateness of PCI, detecting the lesions that may benefit from additional PCI, and risk stratification after PCI. This review will focus on the current evidence for post-PCI physiologic assessment, how to interpret these findings, and the future perspectives of physiologic assessment after PCI. |
format | Online Article Text |
id | pubmed-7925968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Society of Cardiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-79259682021-03-10 Physiologic Assessment after Coronary Stent Implantation Hwang, Doyeon Yang, Seokhun Zhang, Jinlong Koo, Bon-Kwon Korean Circ J State of the Art Review The presence of myocardial ischemia is a prerequisite for the benefit of coronary revascularization. In the cardiac catheterization laboratory, fractional flow reserve and non-hyperemic pressure ratios are used to define the ischemia-causing coronary stenosis, and several randomized studies showed the benefit of physiology-guided coronary revascularization. However, physiology-guided revascularization does not necessarily guarantee the relief of ischemia. Recent studies reported that residual ischemia might exist in up to 15–20% of cases after angiographically successful percutaneous coronary intervention (PCI). Therefore, post-PCI physiologic assessment is necessary for judging the appropriateness of PCI, detecting the lesions that may benefit from additional PCI, and risk stratification after PCI. This review will focus on the current evidence for post-PCI physiologic assessment, how to interpret these findings, and the future perspectives of physiologic assessment after PCI. The Korean Society of Cardiology 2021-01-28 /pmc/articles/PMC7925968/ /pubmed/33655719 http://dx.doi.org/10.4070/kcj.2020.0548 Text en Copyright © 2021. The Korean Society of Cardiology https://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | State of the Art Review Hwang, Doyeon Yang, Seokhun Zhang, Jinlong Koo, Bon-Kwon Physiologic Assessment after Coronary Stent Implantation |
title | Physiologic Assessment after Coronary Stent Implantation |
title_full | Physiologic Assessment after Coronary Stent Implantation |
title_fullStr | Physiologic Assessment after Coronary Stent Implantation |
title_full_unstemmed | Physiologic Assessment after Coronary Stent Implantation |
title_short | Physiologic Assessment after Coronary Stent Implantation |
title_sort | physiologic assessment after coronary stent implantation |
topic | State of the Art Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925968/ https://www.ncbi.nlm.nih.gov/pubmed/33655719 http://dx.doi.org/10.4070/kcj.2020.0548 |
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