Atlas of FFR-Guided Percutaneous Coronary Interventions

Front Matter....Pages i-xvi
Front Matter....Pages 1-1
Setting the Stage: How to Perform Intracoronary Pressure Measurements....Pages 3-14
Front Matter....Pages 15-15
Starting Easy: FFR in a High-Grade Stenosis....Pages 17-20
Another Easy one: This Time in the Other Direction....Pages 21-23
A False-Positive FFR: Drift and Failure to Equalize may cause Troubles!....Pages 25-27
A Negative FFR (Intracoronary Adenosine Bolus)....Pages 29-33
The Assessment of Diffuse Disease....Pages 35-37
Decision-Making in a Long Lesion: Full Metal Jacket or Spot Stenting?....Pages 39-43
When the Pd/Pa Is Already Significant: A “Quick and Clean” FFR....Pages 45-48
Contrast-Induced Hyperemia and FFR: Slightly Slower but still “Quick and Clean”....Pages 49-52
Reproducibility of FFR....Pages 53-55
Long-Term Repeatability of FFR: Twin Measurements with Two Years In-Between....Pages 57-59
A Positive FFR in the Absence of Visible Stenosis: Where Is the Problem?....Pages 61-66
Instantaneous Wave-Free Ratio Assessment....Pages 67-70
Simplifying Angioplasty: From Three-Vessel to One-Vessel Disease....Pages 71-76
FFR to Determine Stent Length: When the Play Gets Tough....Pages 77-82
Multiple Lesions, Multiple Measures....Pages 83-90
Sequential Lesions and Bioresorbable Scaffolds....Pages 91-93
FFR for a Lesion in the Left Main: No One Is So Blind As Those Who Will Not See....Pages 95-98
Imaging of Ostial Lesions: How Reliable Is It?....Pages 99-103
A Complex Left Main Disease....Pages 105-108
Front Matter....Pages 15-15
Bifurcation Lesions: A Quicker Solution for Re-entry....Pages 109-112
A Bifurcation with Surprise....Pages 113-117
A Wire in Jail....Pages 119-124
Mismatch Between Imaging and Functional Relevance of Coronary Stenoses: Seeing Is Not Believing....Pages 125-131
FFR or IVUS for Small Vessels?....Pages 133-136
Same IVUS, Same Vessel, Different FFR....Pages 137-141
In-Stent Restenosis....Pages 143-145
In-Stent Restenosis with a Twist....Pages 147-153
Using FFR to Detect Ischemia in Myocardial Bridge Lesions....Pages 155-158
ACS–NSTEMI....Pages 159-165
A Normal Fractional and Coronary Flow Reserve....Pages 167-169
Impaired Fractional and Coronary Flow Reserve....Pages 171-173
High-Grade Epicardial Stenosis with Microvascular Compensation....Pages 175-178
Threshold FFR, Impaired CFR, and IMR: Macrovascular or Microvascular Disease?....Pages 179-182
Coronary Slow Flow in a Patient with Myocarditis....Pages 183-185
A Complex Combination of Microvascular and Macrovascular Diseases....Pages 187-193
The Impact of Venous Pressure on FFR: Do Diuretics Affect FFR?....Pages 195-196
FFR Provides Indication on Myocardial Viability....Pages 197-200
FFR in a Bypass....Pages 201-202
Heart Failure: Really Idiopathic?....Pages 203-207
Back Matter....Pages 209-211