Coronary physiological assessment has garnered extensive application in managing patients with coronary artery disease, encompassing both acute and chronic scenarios. Beyond the historical purpose as tool to define the hemodynamic significance of a given artery lesion, coronary artery physiology allows for a complete investigation of epicardial and microvascular circulation. The longitudinal assessment of the distribution pattern of coronary disease based on pressure wire technology provides crucial information to define the best management and procedural planning. Moreover, postpercutaneous coronary intervention physiology reassessment showed a strong association with clinical outcomes and, more importantly, it can spot residual pressure gradients potentially amenable to further intervention and optimization. Growing evidence about the non-invasive angiography-based indices helps to overcome the limitations of the use of intracoronary physiology. This review aims to provide an overview of different utilizations of coronary physiology offering a historical perspective with a particular focus on current challenges and future potential applications.

Coronary physiology assessments: historical overview and future challenges / Scarsini, Roberto; Zanon, Sofia; Maisenti, Sara; Pazzi, Sara; Butturini, Caterina; Rubino, Francesca; Portolan, Leonardo; Prado, Guy F.; Fezzi, Simone; Tavella, Domenico; Pesarini, Gabriele; Ribichini, Flavio L.. - In: MINERVA CARDIOLOGY AND ANGIOLOGY. - ISSN 2724-5772. - (2024). [10.23736/s2724-5683.24.06465-2]

Coronary physiology assessments: historical overview and future challenges

PRADO, Guy F.;
2024

Abstract

Coronary physiological assessment has garnered extensive application in managing patients with coronary artery disease, encompassing both acute and chronic scenarios. Beyond the historical purpose as tool to define the hemodynamic significance of a given artery lesion, coronary artery physiology allows for a complete investigation of epicardial and microvascular circulation. The longitudinal assessment of the distribution pattern of coronary disease based on pressure wire technology provides crucial information to define the best management and procedural planning. Moreover, postpercutaneous coronary intervention physiology reassessment showed a strong association with clinical outcomes and, more importantly, it can spot residual pressure gradients potentially amenable to further intervention and optimization. Growing evidence about the non-invasive angiography-based indices helps to overcome the limitations of the use of intracoronary physiology. This review aims to provide an overview of different utilizations of coronary physiology offering a historical perspective with a particular focus on current challenges and future potential applications.
2024
Coronary artery disease; Myocardial fractional flow reserve; Percutaneous coronary intervention
01 Pubblicazione su rivista::01a Articolo in rivista
Coronary physiology assessments: historical overview and future challenges / Scarsini, Roberto; Zanon, Sofia; Maisenti, Sara; Pazzi, Sara; Butturini, Caterina; Rubino, Francesca; Portolan, Leonardo; Prado, Guy F.; Fezzi, Simone; Tavella, Domenico; Pesarini, Gabriele; Ribichini, Flavio L.. - In: MINERVA CARDIOLOGY AND ANGIOLOGY. - ISSN 2724-5772. - (2024). [10.23736/s2724-5683.24.06465-2]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1716292
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