Pubblicazioni

Autori:

Scarsini, Roberto; Fezzi, Simone; Leone, Antonio Maria; De Maria, Giovanni Luigi; Pighi, Michele; Marcoli, Michele; Tavella, Domenico; Pesarini, Gabriele; Banning, Adrian P; Barbato, Emanuele; Wijns, William; Ribichini, Flavio L

Titolo:

Functional Patterns of Coronary Disease: Diffuse, Focal, and Serial Lesions

Anno:

2022

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

No

Nome rivista:

JACC: CARDIOVASCULAR INTERVENTIONS

ISSN Rivista:

1936-8798

N° Volume:

15

Numero o Fascicolo:

21

Intervallo pagine:

2174-2191

Parole chiave:

fractional flow reserve; functional angiography; instantaneous wave-free ratio; intracoronary imaging; percutaneous coronary intervention; quantitative flow ratio

Breve descrizione dei contenuti:

The physiological assessment of coronary lesions is influenced by the pattern and distribution of coronary artery disease (CAD), including focal lesions, serial lesions, diffuse disease, and mixed patterns. These various patterns of CAD impact the accuracy of pressure wire and angiography-derived physiology indexes, and diffuse disease in particular is an important determinant of the anticipated outcome of percutaneous coronary intervention. Therefore, identification of the physiological pattern of disease provides relevant information for the management of CAD and percutaneous coronary intervention procedural planning. At present, the classification of physiological patterns and its implications for the tailored management of a patient with CAD are poorly defined. This state-of-the-art review provides an overview of the available evidence on functional patterns of CAD with a special focus on their diagnostic and therapeutic implications. It also aims to provide clear definitions of physiological patterns of CAD based on the available evidence and expert opinion. A practical algorithm is provided to optimize the use of pressure wire and angiography-derived indexes of coronary physiology in the settings of focal, serial, and diffuse lesions, with the addition of intracoronary imaging in selected cases. (c) 2022 by the American College of Cardiology Foundation.

Id prodotto:

135129

Handle IRIS:

11562/1103809

ultima modifica:

20 dicembre 2023

Citazione bibliografica:

Scarsini, Roberto; Fezzi, Simone; Leone, Antonio Maria; De Maria, Giovanni Luigi; Pighi, Michele; Marcoli, Michele; Tavella, Domenico; Pesarini, Gabriele; Banning, Adrian P; Barbato, Emanuele; Wijns, William; Ribichini, Flavio L, Functional Patterns of Coronary Disease: Diffuse, Focal, and Serial Lesions «JACC: CARDIOVASCULAR INTERVENTIONS» , vol. 15 , n. 21 , 2022 , pp. 2174-2191

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