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Hemodynamic and intravascular ultrasound assessment of an ambiguous left main coronary artery stenosis
Author(s) -
Leesar Massoud A.,
Mintz Gary S.
Publication year - 2007
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21286
Subject(s) - medicine , intravascular ultrasound , stenosis , fractional flow reserve , cardiology , radiology , artery , hemodynamics , angiography , ultrasound , coronary angiography , myocardial infarction
The assessment of the left main coronary artery (LMCA) stenosis by angiography is not reliable, and noninvasive tests are incapable of discriminating ischemia caused by LMCA versus other stenoses. Among patients with LMCA stenosis, both fractional flow reserve and intravascular ultrasound parameters would determine the severity of stenosis and predict the event rates. This review outlines the evidence in support of their routine use for the assessment of an ambiguous LMCA stenosis. © 2007 Wiley‐Liss, Inc.