Consensus Document on the Clinical Application of Invasive Functional Coronary Angiography from the Japanese Association of Cardiovascular Intervention and Therapeutics

Overview

Journal Cardiovasc Interv Ther

Publisher Springer

Specialty Cardiology & Vascular Diseases

Date 2024 Feb 17

PMID 38367157

Authors

Taku Asano

Toru Tanigaki

Kazumasa Ikeda

Masafumi Ono

Hiroyoshi Yokoi

Yoshio Kobayashi

Ken Kozuma

Nobuhiro Tanaka

Yoshiaki Kawase

Hitoshi Matsuo

Affiliations

Soon will be listed here.

Abstract

Invasive functional coronary angiography (FCA), an angiography-derived physiological index of the functional significance of coronary obstruction, is a novel physiological assessment tool for coronary obstruction that does not require the utilization of a pressure wire. This technology enables operators to rapidly evaluate the functional relevance of coronary stenoses during and even after angiography while reducing the burden of cost and complication risks related to the pressure wire. FCA can be used for treatment decision-making for revascularization, strategy planning for percutaneous coronary intervention, and procedure optimization. Currently, various software-computing FCAs are available worldwide, with unique features in their computation algorithms and functions. With the emerging application of this novel technology in various clinical scenarios, the Japanese Association of Cardiovascular Intervention and Therapeutics task force was created to outline expert consensus on the clinical use of FCA. This consensus document advocates optimal clinical applications of FCA according to currently available evidence while summarizing the concept, history, limitations, and future perspectives of FCA along with globally available software.

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