Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results
ABSTRACT Introduction and objectives: The objective of this study was to describe our experience with coronary physiology assessment using the instantaneous wave-free ratio (iFR) and/or a Syncvision-guided iFR-pullback study [Syncvision version 4.1.0.5, Philips Volcano, Belgium] in all-comer patient...
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Permanyer
2021-08-01
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Series: | REC: Interventional Cardiology (English Ed.) |
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Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=627 |
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author | Cristina Pericet-Rodríguez Francisco José Hidalgo-Lesmes Rafael González-Manzanares Soledad Ojeda-Pineda Aurora Luque-Moreno Javier Suárez de Lezo Miguel Ángel Romero-Moreno Francisco Mazuelos-Bellido José María Segura Saint-Gerons Ana Fernández-Ruiz María Guisela Flores-Vergara Manuel Pan Álvarez-Ossorio |
author_facet | Cristina Pericet-Rodríguez Francisco José Hidalgo-Lesmes Rafael González-Manzanares Soledad Ojeda-Pineda Aurora Luque-Moreno Javier Suárez de Lezo Miguel Ángel Romero-Moreno Francisco Mazuelos-Bellido José María Segura Saint-Gerons Ana Fernández-Ruiz María Guisela Flores-Vergara Manuel Pan Álvarez-Ossorio |
author_sort | Cristina Pericet-Rodríguez |
collection | DOAJ |
description | ABSTRACT Introduction and objectives: The objective of this study was to describe our experience with coronary physiology assessment using the instantaneous wave-free ratio (iFR) and/or a Syncvision-guided iFR-pullback study [Syncvision version 4.1.0.5, Philips Volcano, Belgium] in all-comer patients. Methods: Consecutive patients undergoing coronary physiology assessment with the iFR (and/or a Syncvision-guided iFR-pullback study) at our center between January 2017 and December 2019 were included. The iFR cut-off value was 0.89. The primary endpoint was a composite of cardiac death, myocardial infarction, probable or definitive stent thrombosis, and target lesion revascularization. Results: A total of 277 patients with 433 lesions evaluated were included. The mean age was 65 ± 10 years and 74% were men. Personal history of diabetes mellitus was present in 41% of patients. Clinical presentation was stable angina in 160 patients (58%), and acute coronary syndrome in 117 patients (42%). iFRs > 0.89 were obtained in 266 lesions (61.4%) on which the PCI was postponed. The remaining lesions were revascularized. The Syncvision software was used to guide the iFR-pullback study in 155 lesions (36%) and the decision-making process, mainly in long, diffuse or sequential lesions (91 lesions, 58.7%), and intermediate lesions (52 lesions, 33.5%). After a median follow-up of 18 months, the primary endpoint occurred in 17 patients (6.1%) without differences regarding the baseline iFR (≤ 0.89 or > 0.89) (4.2% vs 3.8%; P = .9) or the clinical presentation (stable angina or acute coronary syndrome) (4.4% vs 8.5%; P = .1) Conclusions: The use of coronary physiology assessment with the iFR and the Syncvision-guided iFR-pullback study in the routine daily practice and in all-comer patients seems safe with a low percentage of major adverse cardiovascular events at the mid-term follow-up. |
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language | English |
last_indexed | 2024-12-17T03:14:59Z |
publishDate | 2021-08-01 |
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series | REC: Interventional Cardiology (English Ed.) |
spelling | doaj.art-93b861057e9745f2bf75369db8b7e8432022-12-21T22:05:42ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-08-013318218910.24875/RECICE.M21000206Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up resultsCristina Pericet-Rodríguez0Francisco José Hidalgo-Lesmes1Rafael González-Manzanares2Soledad Ojeda-Pineda3Aurora Luque-Moreno4Javier Suárez de Lezo5Miguel Ángel Romero-Moreno6Francisco Mazuelos-Bellido7José María Segura Saint-Gerons8Ana Fernández-Ruiz9María Guisela Flores-Vergara10Manuel Pan Álvarez-Ossorio11Servicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainServicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, SpainABSTRACT Introduction and objectives: The objective of this study was to describe our experience with coronary physiology assessment using the instantaneous wave-free ratio (iFR) and/or a Syncvision-guided iFR-pullback study [Syncvision version 4.1.0.5, Philips Volcano, Belgium] in all-comer patients. Methods: Consecutive patients undergoing coronary physiology assessment with the iFR (and/or a Syncvision-guided iFR-pullback study) at our center between January 2017 and December 2019 were included. The iFR cut-off value was 0.89. The primary endpoint was a composite of cardiac death, myocardial infarction, probable or definitive stent thrombosis, and target lesion revascularization. Results: A total of 277 patients with 433 lesions evaluated were included. The mean age was 65 ± 10 years and 74% were men. Personal history of diabetes mellitus was present in 41% of patients. Clinical presentation was stable angina in 160 patients (58%), and acute coronary syndrome in 117 patients (42%). iFRs > 0.89 were obtained in 266 lesions (61.4%) on which the PCI was postponed. The remaining lesions were revascularized. The Syncvision software was used to guide the iFR-pullback study in 155 lesions (36%) and the decision-making process, mainly in long, diffuse or sequential lesions (91 lesions, 58.7%), and intermediate lesions (52 lesions, 33.5%). After a median follow-up of 18 months, the primary endpoint occurred in 17 patients (6.1%) without differences regarding the baseline iFR (≤ 0.89 or > 0.89) (4.2% vs 3.8%; P = .9) or the clinical presentation (stable angina or acute coronary syndrome) (4.4% vs 8.5%; P = .1) Conclusions: The use of coronary physiology assessment with the iFR and the Syncvision-guided iFR-pullback study in the routine daily practice and in all-comer patients seems safe with a low percentage of major adverse cardiovascular events at the mid-term follow-up.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=627Physiological assessment All-comer patients Syncvision-guided iFR-pullback study |
spellingShingle | Cristina Pericet-Rodríguez Francisco José Hidalgo-Lesmes Rafael González-Manzanares Soledad Ojeda-Pineda Aurora Luque-Moreno Javier Suárez de Lezo Miguel Ángel Romero-Moreno Francisco Mazuelos-Bellido José María Segura Saint-Gerons Ana Fernández-Ruiz María Guisela Flores-Vergara Manuel Pan Álvarez-Ossorio Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results REC: Interventional Cardiology (English Ed.) Physiological assessment All-comer patients Syncvision-guided iFR-pullback study |
title | Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results |
title_full | Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results |
title_fullStr | Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results |
title_full_unstemmed | Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results |
title_short | Usefulness of physiological coronary assessment with iFR in daily practice and all-comer patients: immediate and follow-up results |
title_sort | usefulness of physiological coronary assessment with ifr in daily practice and all comer patients immediate and follow up results |
topic | Physiological assessment All-comer patients Syncvision-guided iFR-pullback study |
url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=627 |
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