ACTA FAC. MED. NAISS. 2005;
22 (2):67-73|
ACTA FAC. MED. NAISS. 2005;
22 (2):67-73 |
Original article
USEFULNESS OF FUNCTIONAL LESION ASSESSMENT BY CORONARY PRESSURE MEASUREMENT IN CLINICAL CONDITIONS
Miloje Tomašević1, Branko Beleslin2, Svetlana
Apostolović1, Milan Pavlović1, Zoran Perišić1
1Cardiovascular Clinic, CC Niš
2Cardiovascular Clinic, CC Serbia
Dragana Nikić,
Aleksandra Stanković
Institute for Public Health Niš
SUMMARY
The shortcomings of coronary arteriography to assess the
physiological significance of coronary stenosis have been recognised for
decades. Noninvasive test can be inconclusive in some patients. In patients with
moderate coronary stenosis, fractional flow reserve (FFR) provide important
information and appears to be a useful index of the functional severity of the
stenosis and need for coronary revascularization. FFR is invasive index of
stenosis severity that is a substitute for noninvasive stress testing. A patient
with long stenosis of the mid and distal right coronary artery and inconclusive
noninvasive test was presented. FFR was significantly improved, from 0,45 to
0,92, after the coronary intervention. It predicts low restenosis rate.
Key words: fractional flow reserve, coronary pressure, stent implantation