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Coronary Pressure Nico H. J. Pijls

Coronary Pressure By Nico H. J. Pijls

Coronary Pressure by Nico H. J. Pijls


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Summary

Technical progress in developing pressure-monitoring guide wires, and theoretical innovation, has lead to a major step forward in the invasive assessment of coronary artery disease. This book details its progress and includes tips, tricks, and the potential pitfalls of this approach.

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Coronary Pressure Summary

Coronary Pressure by Nico H. J. Pijls

Coronary pressure measurement has emerged over the last few years as a major step forward in the invasive assessment of coronary artery disease. This was due on the one hand to major technical progress in developing pressure-monitoring guide wires, and on the other to a theoretical innovation, the concept of coronary pressure-derived fractional flow reserve, which closely relates distal coronary pressure to myocardial blood flow during maximum arteriolar vasodilation. In the catheterization laboratory, this new approach enables an "on-the-spot" diagnosis as to what extent a given epicardial stenosis contributes to reversible myocardial ischemia and the decision as to whether revascularization of the stenosis is warranted or not. In addition, pressure-derived fractional flow reserve appears to be a useful index in monitoring and guiding coronary intervention, including stent deployment. In "Coronary Pressure", the theoretical and physiological background of this approach is systematically reviewed and advanced clinical applications are illustrated, for both diagnostic and interventional catheterization, including tips, tricks, and potential pitfalls of this approach. This book caters for two types of reader: first, as a guide to the interventionalist who wants to make a quick start; and second, for cardiologists, radiologists, physiologists, and fellows in training for those specialties, who would like to understand the most recent progress in the field of invasive functional assessment of coronary artery disease. This book is an aid to the understanding and treatment of coronary artery disease and could be a major influence on practice in the catheterization laboratory in the next decade.

Table of Contents

The coronary circulation; introduction to invasive assessment of the coronary circulation; fractional flow reserve; practical set-up of coronary pressure measurement; validation of fractional flow reserve in animals; validation of fractional flow reserve in humans; independence of fractional flow reserve of hemodynamic loading conditions; fractional flow reserve in normal coronary arteries; fractional flow reserve to distinguish significant stenosis; comparison of fractional flow reserve to non-invasive tests to detect reversible ischemia; assessment of collateral blood flow by coronary pressure measurement; fractional flow reserve for evaluation of coronary interventions; myocardial fractional flow reserve and clinical outcome; clinical cases; conclusions and perspectives for the future.

Additional information

CIN0792346726G
9780792346722
0792346726
Coronary Pressure by Nico H. J. Pijls
Used - Good
Hardback
Kluwer Academic Publishers
1997-09-30
368
N/A
Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in good condition, but if you are not entirely satisfied please get in touch with us

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