engleski

iFR-guided assessment of angiographically intermediate coronary artery stenoses in different clinical settings – a case series

Making final decisions to perform percutaneous coronary intervention (PCI) based on angiographic results, without taking into consideration objective physiologic parameters that are not subject to misinterpretation, is a major issue in many cardiac catheterization laboratories. Despite numerous studies indicating their weakness, far too many operators still rely on visual angiography estimates or quantitative coronary angiography (QCA) for treatment guidance. This may be especially problematic in technically demanding lesions, bifurcation or multivessel disease, in which case a misinterpreted stenosis severity may lead to over- or undertreatment and possibly worse outcomes.

instantaneous wave-free ratio, percutaneous coronary intervention, multivessel coronary disease.

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