medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2019, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2019; 64 (1)

Invasive physiological indices to determine the functional importance of coronary stenosis

Astudillo SR, Millán IÓ, López-Velarde BP

Language: Spanish
References: 26
Page: 43-48
PDF size: 263.75 Kb.


ABSTRACT

Physiological measurements have been very useful in the catheterization laboratory to evaluate the functional importance of the coronary stenosis. The fractional flow reserve (FFR) and the instant flow reserve (iFR) are used to assess whether coronary lesions should be revascularized. However, a multitude of physiological indices have been proposed for a similar clinical application. In this paper, we discuss the most common invasive physiological indices to evaluate coronary lesions, including their advantages, disadvantages, and the evidence supporting their use.


REFERENCES

  1. Kern MJ, Lerman A, Bech JW, De Bruyne B, Eeckhout E, Fearon WF et al. Physiological assessment of coronary artery disease in the cardiac catheterization laboratory: a scientific statement from the American Heart Association Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology. Circulation. 2006; 114 (12): 1321-1341.

  2. Toth GG, Johnson NP, Jeremias A, Pellicano M, Vranckx P, Fearon WF et al. Standardization of fractional flow reserve measurements. J Am Coll Cardiol. 2016; 68 (7): 742-753.

  3. Van Nunen LX, Zimmermann FM, Tonino PA, Barbato E, Baumbach A et al. Fractional flow reserve versus angiography for guidance of PCI in patients with multivessel coronary artery disease (FAME): 5-year follow-up of a randomised controlled trial. Lancet. 2015; 386 (10006): 1853-1860.

  4. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 2011; 58 (24): e44-e122.

  5. Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V. 2014 ESC/EACTS guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2014; 35 (37): 2541-2619.

  6. Fearon WF, Bornschein B, Tonino PA, Gothe RM, Bruyne BD, Pijls NH et al. Economic evaluation of fractional flow reserve-guided percutaneous coronary intervention in patients with multivessel disease. Circulation. 2010; 122 (24): 2545-2550.

  7. Murphy JC, Hansen PS, Bhindi R, Figtree GA, Nelson GI, Ward MR. Cost benefit for assessment of intermediate coronary stenosis with fractional flow reserve in public and private sectors in Australia. Heart Lung Circ. 2014; 23 (9): 807-810.

  8. May AN, Kull A, Gunalingam B, Francis JL, Lau GT. The uptake of coronary fractional flow reserve in Australia in the past decade. Med J Aust. 2016; 205 (3): 127.

  9. Sen S, Escaned J, Malik IS, Mikhail GW, Foale RA, Mila R et al. Development and validation of a new adenosine-independent index of stenosis severity from coronary wave-intensity analysis: results of the ADVISE (ADenosine Vasodilator Independent Stenosis Evaluation) study. J. Am. Coll. Cardiol. 2012; 59 (15): 1392-1402.

  10. Berry C, Van’t Veer M, Witt N, Kala P, Bocek O, Pyxaras SA et al. VERIFY (Verification of instantaneous wave-free ratio and fractional flow reserve for the assessment of coronary artery stenosis severity in everyday practice): a multicenter study in consecutive patients. J Am Coll Cardiol. 2013; 61 (13): 1421-1427.

  11. Sen S, Asrress KN, Nijjer S, Petraco R, Malik IS, Foale RA et al. Diagnostic classification of the instantaneous wave-free ratio is equivalent to fractional flow reserve and is not improved with adenosine administration. Results of CLARIFY (Classification Accuracy of Pressure-Only Ratios Against Indices Using Flow Study). J Am Coll Cardiol. 2013; 61 (13): 1409-1420.

  12. Petraco R, Park JJ, Sen S, Nijjer SS, Malik IS, Echavarria-Pinto M et al. Hybrid iFR-FFR decision-making strategy: implications for enhancing universal adoption of physiology-guided coronary revascularisation. EuroIntervention. 2013; 8 (10): 1157-1165.

  13. Escaned J, Echavarría-Pinto M, Garcia-Garcia HM, Van de Hoef TP, De Vries T, Kaul P et al. Prospective assessment of the diagnostic accuracy of instantaneous wave-free ratio to assess coronary stenosis relevance: results of ADVISE II international, multicenter study (ADenosine vasodilator independent stenosis evaluation II). J Am Coll Cardiol Intv. 2015; 8 (6): 824-833.

  14. Davies JE, Sen S, Dehbi HM, Al-Lamee R, Petraco R, Nijjer SS. Use of the instantaneous wave-free ratio or fractional flow reserve in PCI. N Engl J Med. 2017; 376 (19): 1824-1834.

  15. Götberg M, Christiansen EH, Gudmundsdottir IJ, Sandhall L, Danielewicz M, Jakobsen L et al. Instantaneous wave-free ratio versus fractional flow reserve to guide PCI. N Engl J Med. 2017; 376 (19): 1813-1823.

  16. Berry C, McClure JD, Oldroyd KG. Meta-analysis of death and myocardial infarction in the DEFINE-FLAIR and iFR-SWEDEHEART trials. Circulation. 2017; 136 (24): 2389-2391.

  17. Lee JM, Hwang D, Park J, Tong Y, Koo BK. Physiologic mechanism of discordance between instantaneous wave-free ratio and fractional flow reserve: insight from 13N-ammonium positron emission tomography. Int J Cardiol. 2017; 243: 91-94.

  18. Lee JM, Shin ES, Nam CW, Doh JH, Hwang D, Park J. Discrepancy between fractional flow reserve and instantaneous wave-free ratio: clinical and angiographic characteristics. Int J Cardiol. 2017; 245: 63-68.

  19. Pijls NH, De Bruyne B, Bech GJ, Liistro F, Heyndrickx GR, Bonnier HJ. Coronary pressure measurement to assess the hemodynamic significance of serial stenoses within one coronary artery: validation in humans. Circulation. 2000; 102 (19): 2371-2377.

  20. Nijjer SS, Sen S, Petraco R, Escaned J, Echavarria-Pinto M, Broyd C et al. Pre-angioplasty instantaneous wave-free ratio pullback provides virtual intervention and predicts hemodynamic outcome for serial lesions and diffuse coronary artery disease. JACC Cardiovasc Interv. 2014; 7 (12): 1386-1396.

  21. Verberne H, Piek J, Van Liebergen R, Koch K, Schroeder-Tanka J, Van Royen E. Functional assessment of coronary artery stenosis by Doppler derived absolute and relative coronary blood flow velocity reserve in comparison with 99mTc MIBI SPECT. Heart. 1999; 82 (4): 509-514.

  22. Johnson NP, Kirkeeide RL, Gould KL. Is discordance of coronary flow reserve and fractional flow reserve due to methodology or clinically relevant coronary pathophysiology? JACC Cardiovasc Imaging. 2012; 5 (2): 193-202.

  23. Van de Hoef TP, van Lavieren MA, Damman P, Delewi R, Piek MA, Chamuleau SA. Physiological basis and long-term clinical outcome of discordance between fractional flow reserve and coronary flow velocity reserve in coronary stenoses of intermediate severity. Circ Cardiovasc Interv. 2014; 7 (3): 301-311.

  24. Chamuleau SA, Tio RA, De Cock CC, De Muinck ED, Pijls NH, Van Eck-Smit BL et al. Prognostic value of coronary blood flow velocity and myocardial perfusion in intermediate coronary narrowings and multivessel disease. J Am Coll Cardiol. 2002; 39 (5): 852-858.

  25. Misaka T, Kunii H, Mizukami H, Sakamoto N, Nakazato K, Takeishi Y. Long-term clinical outcomes after deferral of percutaneous coronary intervention of intermediate coronary stenoses based on coronary pressure-derived fractional flow reserve. J Cardiol. 2011; 58 (1): 32-37.

  26. Ng MK, Yeung AC, Fearon WF. Invasive assessment of the coronary microcirculation: superior reproducibility and less hemodynamic dependence of index of microcirculatory resistance compared with coronary flow reserve. Circulation. 2006; 113 (17): 2054-2061.




2020     |     www.medigraphic.com