Using Physiology Pullback for Percutaneous Coronary Intervention Guidance: Is this the Future?

Cardiol Clin

Department of Cardiology, Imperial College London, Hammersmith Hospital, Du Cane Road, London, W12 0HS, United Kingdom. Electronic address: https://twitter.com/SukhNijjer.

Published: February 2024

Modern coronary intervention requires integration of angiographic, physiologic, and intravascular imaging. This article describes the use and techniques needed to understand coronary physiology pullback data and how use it to make revascularization decisions. The article describes instantaneous wave-free ratio, fractional flow reserve, and the data that support their use and how they differ when used in tandem disease. Common practical mistakes and errors are discussed together with a brief review of the limited published research data.

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http://dx.doi.org/10.1016/j.ccl.2023.07.008DOI Listing

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