THE CONTRIBUTION OF THE FRACTIONNAL FLOW RESERVE IN THE CONFIRMATION OF MYOCARDIAL ISCHEMIA REVEALED BY VENTRICULAR RYTHM DISORDERS: REPORT ON TWO CASES AND A LITERARY REVIEW.
- Department of Cardiology, Aristide Le Dantec Hospital University, Dakar, SENEGAL.
- Department of Cardiology, Yves Le Foll Hospital, Saint Brieuc, FRANCE.
- Department of Cardiology, Fann Hospital University, Dakar, SENEGAL.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
The past few years, a large amount of proofs has shown that angiography, used alone, presents limits for determining the physiologic meaning of coronary stenosis, mostly when they are intermediary[1]. Angiography, with the physiological study using the Fractionnal Flow Reserve (FFR), has prouved it?s efficacy with the reduction of cardiovascular events compared to Angioplasty guides by Angiography alone[2-5]. This approach using the FFR, in the management of stable coronary diseases, benefits from the class IA recommendation in European recommendations[6]. Our goal is to show the importance of the FFR in the determination of the myocardial ischemia reavealed by ventricular rhythm disorders, through these two observations.
- White CW, Wright CB, Doty DB et al. Does visual interpretation of the coronary arteriogram pre-dict the physiologic importance of a coronary stenosis? N Engl J Med1984;310(13):819?24.
- Pijls NHJ, Sels J-WEM. Functional measurement of coronary stenosis.JAmCollCardiol 2012;59(12):1045?57.
- Pijls NHJ, van Schaardenburgh P, ManoharanG et al. Percutaneous coronary intervention of functionallynonsignificant stenosis: 5-year follow-up of the DEFER study. J Am CollCardiol 2007;49(21):2105?11.
- Tonino PAL, De Bruyne B, Pijls NHJ et al. Fractional flow reserve versus angiography for guiding percutaneouscoronary intervention. N Engl J Med 2009;360(3):213?24.
- De Bruyne B, Fearon WF, Pijls NHJ et al.Fractional flow reserve-guided PCI for stable coronary artery disease. NEngl J Med 2014;371(13):1208?17.
- Authors/Task Force members, Windecker S, Kolh P, Alfonso F et al. 2014 ESC/EACTS Guidelines on myocardial revascula-rization: The task force on myocardial revascularization of the EuropeanSociety of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)*developed with the special contribution ofthe European Association of Percutaneous Cardiovascular Interventions(EAPCI). Eur Heart J 2014;35(37):2541?619.
- Measurement of fractional flow reserve to assess the functional severity ofcoronary-artery stenoses. 1996;334(26):1703?1708.
- Pijls NH, Van Gelder B, Van der Voort P et al. Fractional flow reserve. A useful index to evaluate the influenceof an epicardial coronary stenosis on myocardial blood flow.Circulation1995;92(11):3183?93.
- Ladwiniec A, Hoye A. The haemodynamic effects of collateral donationto a chronic total occlusion: implications for patient management. Int JCardiol 2015;198:159?66.
- Picard F?, Tadros VX, Pighi M? et al Fractional flow reserve(FFR) et instantaneouswave-free ratio (iFR),l??valuation physiologique d?une st?nose coronarienne dans le laboratoire decat?th?risme cardiaque : mise au point et guide pratique. Ann CardiolAngeiol (Paris) (2016), http://dx.doi.org/10.1016/j.ancard.2016.03.002
- Casella G, Leibig M, Schiele TM, et al. Are high doses of intracoronary adenosine an alternative to standard intravenous adenosine for the assessment of fractional flow reserve? Am Heart J 2004;148:590-5.
- Rioufol G, Caignault JR, Finet G, et al. 150 Microgram intracoronary adenosine bolus is mandatory for accuratefractional flow reserve measurement in intermediate lesions: a dose-ranging study. EuroIntervention2005;1:204-207.
- Finet G ,Rioufol G. la FFR. AMCVP-09-2013. Vol 19, 220.p 23-25
- Gould KL, Lipscomb K, Hamilton GW, et al. Physiologic basisfor assessing critical coronary stenosis. Am J Cardiol1974;33:87-94
[Mingou JS, Dioum M, Ndao SCT, Zabalawi A, Delaunay R, Taldir G, Bodi S, Payot L, Diao M and Moquet B. (2017); THE CONTRIBUTION OF THE FRACTIONNAL FLOW RESERVE IN THE CONFIRMATION OF MYOCARDIAL ISCHEMIA REVEALED BY VENTRICULAR RYTHM DISORDERS: REPORT ON TWO CASES AND A LITERARY REVIEW. Int. J. of Adv. Res. 5 (Aug). 270-274] (ISSN 2320-5407). www.journalijar.com
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