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Role of Invasive Functional Assessment in Surgical Revascularization of Coronary Artery Disease
- Source :
- Circulation. 137(16)
- Publication Year :
- 2018
-
Abstract
- In patients with stable coronary artery disease, percutaneous coronary intervention is associated with improved outcomes if the lesion is deemed significant by invasive functional assessment using fractional flow reserve. Recent studies have shown that a revascularization strategy using instantaneous wave-free ratio is noninferior to fractional flow reserve in patients with intermediate-grade stenoses. The decision to perform coronary artery bypass grafting surgery is usually based on anatomic assessment of stenosis severity by coronary angiography. The data on the role of invasive functional assessment in guiding surgical revascularization are limited. In this review, we discuss the diagnostic and prognostic significance of invasive functional assessment in patients considered for coronary artery bypass grafting. In addition, we critically discuss ongoing and future clinical trials on the role of invasive functional assessment in surgical revascularization.
- Subjects :
- medicine.medical_specialty
Cardiac Catheterization
medicine.medical_treatment
Clinical Decision-Making
Fractional flow reserve
Coronary Artery Disease
030204 cardiovascular system & hematology
Revascularization
Coronary Angiography
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Predictive Value of Tests
Physiology (medical)
Internal medicine
medicine
Humans
030212 general & internal medicine
Coronary Artery Bypass
Cardiac catheterization
business.industry
Patient Selection
Percutaneous coronary intervention
Reproducibility of Results
medicine.disease
Coronary Vessels
Clinical trial
Fractional Flow Reserve, Myocardial
Stenosis
medicine.anatomical_structure
Treatment Outcome
Heart Function Tests
Cardiology
Cardiology and Cardiovascular Medicine
business
Artery
Subjects
Details
- ISSN :
- 15244539
- Volume :
- 137
- Issue :
- 16
- Database :
- OpenAIRE
- Journal :
- Circulation
- Accession number :
- edsair.doi.dedup.....eac112a6ca5ed620480ca934170e35c0