Fractional flow reserve of intermediate lesions on collateral donor coronary arteries after myocardial infarction
Author(s) -
Ivan Simić,
Vladimir Zdravković,
Goran Davidović,
Violeta Irić-Ćupić,
Rada Vučić,
Mladen Tasić,
Vladimir Ignjatović
Publication year - 2013
Publication title -
archives of biological sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 25
eISSN - 1821-4339
pISSN - 0354-4664
DOI - 10.2298/abs1302571s
Subject(s) - medicine , cardiology , fractional flow reserve , coronary arteries , myocardial infarction , collateral circulation , artery , stenosis , angiography , right coronary artery , gold standard (test) , coronary angiography
Fractional flow reserve (FFR) is the gold standard for the functional assessment of coronary arteries. The aim of this study was to evaluate the relation between angiography, QCA and FFR in borderline lesions on collateral donor coronary arteries. In addition, FFR is compared with the angiographic appearance of collaterals to infarction-related arteries and echocardiographically assessed viability of infarct related the LV wall. In 60 patients with previous IM and occluded IRA, functional assessment of borderline coronary stenosis (30-70% DS) on collaterals donor artery was performed. We have not found statistically significant differences in these parameters between groups with different angiographic appearances of collaterals and different viability of distal myocardium. However, we found higher FFR values in diabetic patients (p=0.018). Higher FFR values in diabetic patients reveal the negative effects of diabetes on collateral growth and myocardial viability
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom