1,721,669 research outputs found
Contemporary management of calcified coronary lesions
No full textInvasive percutaneous treatment of calcified coronary stenoses begins with a careful preparation of the procedure. The operator needs to anticipate possible procedural challenges by assessing the clinical and diagnostic information available. In addition, there is no one-size- fits- all solution, but a successful treatment derives from a combination of tools and techniques. One might rely on algorithms proposed by experienced operators to help in decision-making while building its own experience. Implementation of available imaging techniques both non-invasive and invasive, along with judicious adoption of available tools and techniques, is key to a successful treatment of this challenging lesion setting. The bottom line is to gain sufficient confidence to manage the hardest coronary lesion at the lowest risk of complication for the patient.
From microvascular impairment to cardiac allograft vasculopathy: A disease continuum
No full textNo abstract availabl
Microvascular impairment associated with percutaneous coronary revascularization: The quest for protective microcirculatory strategies
No full textNo abstract availabl
Preoperative functional assessment of the left main and postoperative side branch evaluation
No full textnot availabl
Invasive functional assessment of coronary artery stenosis using fractional flow reserve
No full textThe presence of myocardial ischemia significantly affects prognosis of patients with coronary artery disease. The fractional flow reserve (FFR) allows interventional cardiologists to evaluate whether an equivocal coronary artery stenosis is associated or not with myocardial ischemia, and therefore deserve to be properly treated. The present article has the purpose to provide the readers with an overview about the role of FFR in the diagnosis and management of coronary artery disease, as well as the potential related controversies. The coronary physiology on the basis of this tool is also provided together with all the procedural aspects useful in the catheterization laboratory. In addition, the landmark trials on the basis of the FFR application in different clinical settings and coronary anatomies will be described, together with the main improvements aiming at favoring a more extensive use of this invasive tool
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