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Intracoronary versus Intravenous Adenosine-Induced Maximal Coronary Hyperemia for Fractional Flow Reserve Measurements
Author(s) -
Ahmed Khashaba,
Ayman Mortada,
Azza Omran
Publication year - 2014
Publication title -
clinical medicine insights cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.634
H-Index - 21
ISSN - 1179-5468
DOI - 10.4137/cmc.s11535
Subject(s) - fractional flow reserve , adenosine , cardiology , medicine , reactive hyperemia , coronary flow reserve , anesthesia , blood flow , coronary angiography , myocardial infarction
Maximal hyperemia is the critical prerequisite for fractional flow reserve (FFR) assessment. Despite intravenous (IV) adenosine currently being the recommended approach, intracoronary (IC) administration of adenosine constitutes a valuable alternative in everyday practice. However, it is surprisingly unclear which IC strategy allows the achievement of FFR values that are comparable to IV adenosine.

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