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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...

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Autores principales: Hwang, Doyeon, Yang, Seokhun, Zhang, Jinlong, Koo, Bon-Kwon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2021
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.
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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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