Role of Coronary Physiology in the Modern Catheterisation Lab

Over the past two decades, invasive coronary physiology assessment has advanced significantly. Despite the proven prognostic significance provided by invasive physiological assessment of lesions by means of fractional flow reserve or adenosine-free non-hyperaemic pressure ratios, challenges in clini...

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Bibliographic Details
Published in:EMJ Interventional Cardiology 2024-06, p.87-92
Main Authors: Occhipinti, Giovanni, Brugaletta, Salvatore
Format: Article
Language:English
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Summary:Over the past two decades, invasive coronary physiology assessment has advanced significantly. Despite the proven prognostic significance provided by invasive physiological assessment of lesions by means of fractional flow reserve or adenosine-free non-hyperaemic pressure ratios, challenges in clinical practice hinder widespread adoption and limit additional value for optimising percutaneous coronary intervention decisions. Despite notable progress, uncertainties persist, emphasising the need for further research to establish a single numerical parameter in the diagnosis of a functionally significant disease, clarify the impact of longitudinal vessel analysis, and support the relevance of pressure indices in post-intervention optimisation.
ISSN:2053-423X
2053-423X
DOI:10.33590/emjintcardiol/STMU5809