Coronary Imaging and Physiology

This book is intended as a guide for all cardiologists who are interested in coronary imaging and physiology, a sound understanding of which is vital for the optimal performance of appropriate coronary interventions. The basics of each relevant modality are presented, with clear explanation of clinical utility and evaluation of the evidence regarding clinical outcomes. All technical methods are described in detail, and the text is complemented by numerous helpful tables and illustrations.
The effectiveness of intravascular coronary imaging in improving clinical outcomes is proven, and it is widely used for this purpose. Two modalities for intravascular coronary imaging are available in clinical practice: intravascular ultrasound (IVUS) and optical coherence tomography (OCT). For coronary physiology, the pressure wire-derived fractional flow reserve (FFR) provides information on the functional status of coronary trees. This technique and its clinical applications receive particular attention in the book, which also looks beyond FFR to FFR-CT, a method using computational fluid dynamics, and to invasive assessment of the microcirculation.

Explains the basics of each relevant modality Evaluates the evidence regarding clinical outcomes Includes detailed coverage of fractional flow reserve Looks forward to wider use of FFR-CT and invasive assessment of the microcirculation

Autorentext
Myeong-Ki Hong, MD, PhDDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine

Inhalt
Practical overview.- 1. Concept of invasive coronary physiology: focus on FFR.- 2. Set up for fractional flow reserve and hyperemia.- 3. Validations of FFR and cut off value (including Clinical trial).- 4. Practical learning in coronary pressure measurement.- 5. Other physiologic indices for epicardial stenosis.- 6. Comparison between physiologic and anatomic indices.- Clinical applications of FFR.- 7. FFR in intermediate or ambiguous lesion.- 8. FFR in complex lesion (multivessel disease, Tadem, LM, Bifurcation).- 9. FFR in acute coronary syndrome and noncoronary disease.- 10. FFR in specific lesion subsets: ISR, post PCI, transplant etc.- Beyond FFR.- 11. Invasive assessment for microcirculation.- 12. Computational fluid dynamics: FFR CT.