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Article ; Online: Effect of coronary tortuosity on invasive physiology.

Maznyczka, Annette / Rajkumar, Christopher / Hobson, Alex / Haworth, Peter Aj

BMJ case reports

2022  Volume 15, Issue 6

Abstract: We present a case of angina, where extreme coronary tortuosity affected invasive physiology interpretation. Extreme coronary tortuosity may lower fractional flow reserve and instantaneous wave-free ratio. Therefore, invasive physiology can be misleading ... ...

Abstract We present a case of angina, where extreme coronary tortuosity affected invasive physiology interpretation. Extreme coronary tortuosity may lower fractional flow reserve and instantaneous wave-free ratio. Therefore, invasive physiology can be misleading in this setting, when used to evaluate stenosis significance, or when used post-percutaneous coronary (PCI) intervention for physiology guided stent optimisation.
MeSH term(s) Cardiac Catheterization ; Coronary Angiography ; Coronary Artery Disease ; Coronary Stenosis ; Fractional Flow Reserve, Myocardial/physiology ; Humans ; Percutaneous Coronary Intervention ; Predictive Value of Tests ; Treatment Outcome
Language English
Publishing date 2022-06-10
Publishing country England
Document type Case Reports ; Journal Article
ISSN 1757-790X
ISSN (online) 1757-790X
DOI 10.1136/bcr-2022-249095
Database MEDical Literature Analysis and Retrieval System OnLINE

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