Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions

Main vessel stenting in the «false» bifurcation coronary lesions compromises side branch vessel ostium often. Functional significance of the side vessel ostium narrowing after main vessel stenting was defined in 40 patients with II-III classes of stable angina pectoris with isolated «false» bifurcat...

Full description

Bibliographic Details
Main Authors: M U Movsesyants, V A Ivanov, I V Trunin, A V Ivanov, U A Bobkov, S A Terekhin, V V Mayskov
Format: Article
Language:English
Published: Peoples’ Friendship University of Russia (RUDN University) 2009-06-01
Series:RUDN Journal of Medicine
Subjects:
Online Access:http://journals.rudn.ru/medicine/article/view/3700
_version_ 1819263403379654656
author M U Movsesyants
V A Ivanov
I V Trunin
A V Ivanov
U A Bobkov
S A Terekhin
V V Mayskov
author_facet M U Movsesyants
V A Ivanov
I V Trunin
A V Ivanov
U A Bobkov
S A Terekhin
V V Mayskov
author_sort M U Movsesyants
collection DOAJ
description Main vessel stenting in the «false» bifurcation coronary lesions compromises side branch vessel ostium often. Functional significance of the side vessel ostium narrowing after main vessel stenting was defined in 40 patients with II-III classes of stable angina pectoris with isolated «false» bifurcation coronary lesions by means of a fractional flow reserve (FFR). Average side branch vessel ostium narrowing was 69,8 ± 8,7%, average value of FFR was detected 0,83 ± 0,06. It was noted, that the visual estimation and the quantitative coronary angiography are unreliable methods in assessment of the severity of side branch vessel ostium narrowing. The results of our study demonstrate, that if FFR > 0,75 it is out of any benefit to conduct additional kissing balloon angioplasty of side brahch vessel ostium. Moreover, it was associated with high risk of side branch vessel dissection and ischemic myocardium injury.
first_indexed 2024-12-23T20:13:02Z
format Article
id doaj.art-d71ff542b4474ed48487aa67c6ace5be
institution Directory Open Access Journal
issn 2313-0245
2313-0261
language English
last_indexed 2024-12-23T20:13:02Z
publishDate 2009-06-01
publisher Peoples’ Friendship University of Russia (RUDN University)
record_format Article
series RUDN Journal of Medicine
spelling doaj.art-d71ff542b4474ed48487aa67c6ace5be2022-12-21T17:32:46ZengPeoples’ Friendship University of Russia (RUDN University)RUDN Journal of Medicine2313-02452313-02612009-06-010226313700Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesionsM U Movsesyants0V A Ivanov1I V Trunin2A V Ivanov3U A Bobkov4S A Terekhin5V V Mayskov6ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»ФГУ «3 ЦВКГ им. А.А. Вишневского МО РФ»Российский университет дружбы народовMain vessel stenting in the «false» bifurcation coronary lesions compromises side branch vessel ostium often. Functional significance of the side vessel ostium narrowing after main vessel stenting was defined in 40 patients with II-III classes of stable angina pectoris with isolated «false» bifurcation coronary lesions by means of a fractional flow reserve (FFR). Average side branch vessel ostium narrowing was 69,8 ± 8,7%, average value of FFR was detected 0,83 ± 0,06. It was noted, that the visual estimation and the quantitative coronary angiography are unreliable methods in assessment of the severity of side branch vessel ostium narrowing. The results of our study demonstrate, that if FFR > 0,75 it is out of any benefit to conduct additional kissing balloon angioplasty of side brahch vessel ostium. Moreover, it was associated with high risk of side branch vessel dissection and ischemic myocardium injury.http://journals.rudn.ru/medicine/article/view/3700бифуркационное стентированиефракционный резерв кровотока (ФРК)
spellingShingle M U Movsesyants
V A Ivanov
I V Trunin
A V Ivanov
U A Bobkov
S A Terekhin
V V Mayskov
Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
RUDN Journal of Medicine
бифуркационное стентирование
фракционный резерв кровотока (ФРК)
title Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
title_full Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
title_fullStr Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
title_full_unstemmed Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
title_short Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions
title_sort fractional flow reserve in definition for futher endovascular intervention in false bifurcation coronary lesions
topic бифуркационное стентирование
фракционный резерв кровотока (ФРК)
url http://journals.rudn.ru/medicine/article/view/3700
work_keys_str_mv AT mumovsesyants fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT vaivanov fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT ivtrunin fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT avivanov fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT uabobkov fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT saterekhin fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions
AT vvmayskov fractionalflowreserveindefinitionforfutherendovascularinterventioninfalsebifurcationcoronarylesions