From Research to Clinical Practice: Current Role of Intracoronary Physiologically Based Decision Making in the Cardiac Catheterization Laboratory

Decisions regarding coronary interventions should be combined with objective evidence of myocardial ischemia. The most common physiologic approach utilizes hospital facilities outside the catheterization laboratory, requiring additional time and cost. With the introduction of sensor-tipped angioplas...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 1997-09, Vol.30 (3), p.613-620
Main Authors: Kern, Morton J., de Bruyne, Bernard, Pijls, Nico H.J.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Flow Velocity
Cardiac Catheterization
Cardiology. Vascular system
Coronary Circulation - physiology
Coronary Disease - physiopathology
Coronary heart disease
Coronary Vessels - physiology
Decision Making
Heart
Hemodynamics
Humans
Medical sciences
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Summary:Decisions regarding coronary interventions should be combined with objective evidence of myocardial ischemia. The most common physiologic approach utilizes hospital facilities outside the catheterization laboratory, requiring additional time and cost. With the introduction of sensor-tipped angioplasty guide wires, distal coronary flow velocity and pressure can be obtained in the cardiac catheterization laboratory, facilitating physiologically based decisions regarding the need for intervention. In the catheterization laboratory, physiologically significant stenoses can be characterized as having impaired post-stenotic coronary flow reserve
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(97)00224-6