Change in instantaneous wave-free ratio in the donor artery in multivessel coronary disease: a case report
https://doi.org/10.15829/15604071-2022-5090
Abstract
Patients with multivessel coronary artery disease require an individual approach when choosing tactics for myocardial revascularization. In some cases, additional methods for assessing the stenosis significance should be used, such as measuring the fractional or instantaneous wave-free ratio, in order to decide on the most optimal and safe management of a patient. The article presents a case report of a change in the functional significance of stenosis of the left anterior descending artery (donor artery) after endovascular treatment in the right coronary and circumflex artery systems in a patient with three-vessel coronary disease and diabetes.
About the Authors
F. B. ShukurovNational Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Moscow
Competing Interests:
none
T. P. Baronets
Russian Federation
Moscow
Competing Interests:
none
B. A. Rudenko
Russian Federation
Moscow
Competing Interests:
none
D. K. Vasiliev
Russian Federation
Moscow
Competing Interests:
none
D. A. Feshchenko
Russian Federation
Moscow
Competing Interests:
none
References
1. Бойцов С. А., Шальнова С. А., Деев А. Д. Cмертность от сердечно-сосудистых заболеваний в российской федерации и возможные механизмы ее изменения. Журнал неврологии и психиатрии им. C. C. Корсакова. 2018;118(8):98-103. doi:10.17116/jnevro201811808198.
2. Российское кардиологическое общество (РКО). Стабильная шемическая болезнь сердца. Клинические рекомендации 2020. Российский кардиологический журнал. 2020;25(11):4076. doi: 10.15829/29/1560-4071-2020-4076.
3. Zimmermann FM, Omerovic E, Fournier S, et al. Fractional flow reserve-guided percutaneous coronary intervention vs. medical therapy for patients with stable coronary lesions: meta-analysis of individual patient data. Eur Heart J. 2019;40(2):180-6. doi:10.1093/eurheartj/ehy812.
4. D’Ascenzo F, Barbero U, Cerrato E, et al. Accuracy of intravascular ultrasound and optical coherence tomography in identifying functionally significant coronary stenosis according to vessel diameter: a meta-analysis of 2,581 patients and 2,807 lesions. Am Heart J. 2015;169(5):663-73. doi:10.1016/j.ahj.2015.01.013.
5. Даренский Д. И., Грамович В. В., Жаро ва Е. А. и др. Сравнение методов моментального и фракционного резервов крово тока с неинвазивными методами выявления ишемии миокарда при оценке пограничных коронарных стенозов у больных с хронической формой ишемической болезни сердца. Кардиология. 2017;57(8):11-9. doi:10.18087/cardio.2017.8.10012.
6. Lotfi A, Jeremias A, Fearon WF, et al. Expert consensus statement on the use of frac- tional flow reserve, intravascular ultrasound, and optical coherence tomography: a consensus statement of the Society of Cardiovascular Angiography and Interventions. Catheterization and Cardiovascular Interventions 2014;83(4):509-18. doi:10.1002/ccd.25222.
7. Kayaert P, Coeman M, Drieghe B, et al. iFR uncovers profound but mostly reversible ischemia in CTOs and helps to optimize PCI results. Catheterization and Cardiovascular Interventions. 2021;97(4):646-55. doi:10.1002/ccd.29072.
8. Mohdnazri ShR, Karamasis GV, Al-Janabi F, et al. The impact of coronary chronic total occlusion percutaneous coronary intervention upon donor vessel fractional flow reserve and instantaneous wave-free ratio: Implications for physiology-guided PCI in patients with CTO. Catheterization and Cardiovascular Interventions. 2018;92(3):E139-E148. doi:10.1002/ccd.27587.
Review
For citations:
Shukurov F.B., Baronets T.P., Rudenko B.A., Vasiliev D.K., Feshchenko D.A. Change in instantaneous wave-free ratio in the donor artery in multivessel coronary disease: a case report. . 2022;27(8):5090. (In Russ.) https://doi.org/10.15829/15604071-2022-5090
