The Role of Coronary Physiology in Contemporary Percutaneous Coronary Interventions

Overview

Journal Curr Cardiol Rev

Publisher Bentham Science Publishers

Specialty Cardiology & Vascular Diseases

Date 2021 Sep 15

PMID 34521331

Citations 1

Authors

Federico Marin

Roberto Scarsini

Dimitrios Terentes-Printzios

Rafail A Kotronias

Flavio Ribichini

Adrian P Banning

Giovanni Luigi De Maria

Affiliations

Soon will be listed here.

Abstract

Invasive assessment of coronary physiology has radically changed the paradigm of myocardial revascularization in patients with coronary artery disease. Despite the prognostic improvement associated with ischemia-driven revascularization strategy, functional assessment of angiographic intermediate epicardial stenosis remains largely underused in clinical practice. Multiple tools have been developed or are under development in order to reduce the invasiveness, cost, and extra procedural time associated with the invasive assessment of coronary physiology. Besides epicardial stenosis, a growing body of evidence highlights the role of coronary microcirculation in regulating coronary flow with consequent pathophysiological and clinical and prognostic implications. Adequate assessment of coronary microcirculation function and integrity has then become another component of the decision-making algorithm for optimal diagnosis and treatment of coronary syndromes. This review aims at providing a comprehensive description of tools and techniques currently available in the catheterization laboratory to obtain a thorough and complete functional assessment of the entire coronary tree (both for the epicardial and microvascular compartments).

Citing Articles

An Overview of Current Advances in Contemporary Percutaneous Coronary Intervention.

Alkhalil M Curr Cardiol Rev. 2022; 18(1):e150322202194.

PMID: 35297342 PMC: 9241112. DOI: 10.2174/1573403X1801220315090538.

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