Document Detail


Myocardial perfusion during transient slow-flow in the patient with old vein graft intervention: assessment by serial measurement of pressure-derived fractional flow reserve and thermodilution-derived coronary flow reserve.
MedLine Citation:
PMID:  14571493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with distal slow-flow after stenting in the old vein graft intervention was reported. This case is a first in whom guidewire-based serial measurement of pressure-derived fractional flow reserve (FFR(myo)) and thermodilution-based coronary flow reserve (CFR(thermo)) clearly demonstrated the serial change of microvascular circulation. During slow-flow, CFR(thermo) remained in low value despite significant improvement of FFR(myo) from 0.61 to 0.90. After thrombus aspiration and nicorandil injection, coronary flow reestablished immediately. CFR(thermo) improved significantly from 1.3 during slow-flow to 3.6 after restoration of flow.
Authors:
Hitoshi Matsuo; Sachiro Watanabe; Shinji Yasuda; Takeshi Hirose; Makoto Iwama; Shinichiro Tanaka; Takahiko Yamaki; Kouji Ono; Haruki Takahashi; Tomonori Segawa; Yukihiko Matsuno; Shinya Minatoguchi; Hisayoshi Fujiwara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  60     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-10-22     Completed Date:  2004-03-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392-8     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
Affiliation:
Department of Cardiology, Gifu Prefectural Hospital, Gifu City, Gifu, Japan. matsuo@iri.rd.pref.gifu.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Blood Flow Velocity / physiology
Blood Pressure / physiology
Coronary Angiography
Coronary Circulation / physiology*
Coronary Restenosis / diagnosis,  physiopathology*,  therapy*
Electrocardiography
Humans
Male
Microcirculation / physiology
Myocardial Reperfusion*
Thermodilution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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