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Current concepts in coronary physiology for the interventionalist
Authors:Steven C Herrmann  Amr El-Shafei  Morton J Kern
Affiliation:J Gerard Mudd Cardiac Catheterization Laboratory St Louis University Health Sciences Center St Louis MO USA
Abstract:Coronary angiography remains the `gold standard' for the diagnosis of epicardial coronary disease. However, precise quantification of stenosis severity is limited because of the complex three-dimensional geometry of epicardial plaques. To assist the angiographer in lesion assessment, several physiologic measurements have been developed to evaluate stenosis severity, including coronary flow reserve, relative coronary flow reserve and fractional flow reserve. Physiologic lesion assessment can also be an invaluable tool in coronary intervention, evaluating efficacy of angioplasty and stent deployment. (Int J Cardiovasc Intervent 2003; 5: 109--131)
Keywords:Coronary Intervention  Lesion Assessment  Coronary Flow Reserve  Fractional Flow Reserve  Angioplasty  Blood Flow
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