Fractional flow reserve in the artery than the application of percutaneous coronary intervention in patients with meta-analysis.docVIP

 PAGE \* MERGEFORMAT 10 Fractional flow reserve in the artery than the application of percutaneous coronary intervention in patients with meta-analysis Study: Group Houfeng Xia Lu Zheng Shuo Traveling [Keywords:] fractional flow reserve, multi-vessel disease, percutaneous coronary intervention, meta-analysis Coronary atherosclerosis induced myocardial ischemia in patients with coronary heart disease an important factor in adverse clinical outcomes (1), clinical coronary artery than in patients with myocardial ischemia commonly, high mortality, short for these patients to determine blood vessels and its related revascularization, including percutaneous coronary intervention (PCI and coronary artery bypass grafting (CABG is very important the choice of treatment strategy (2). current clinical application of coronary angiography (angiography and intravascular ultrasound (IVUS evaluation of coronary artery stenosis only, multi-vessel disease and because of the ischemic area covered with each other, exercise myocardial perfusion imaging in 95% of patients can not accurately determine the ischemic area (3), through the coronary arterial pressure measurement calculated fractional flow reserve (fractional flow reverse, FFR can be functional evaluation of coronary artery stenosis and the immediate effect of interventional treatment and prognosis (4). This paper reviews the relevant FFR PCI in multivessel disease randomized controlled clinical study information, analysis FFR to guide multi-vessel PCI in the treatment of disease. 1 Materials and Methods 1.1 Literature Search In the Cochrane Central Register of Controlled Trials, MEDLINE, PUBMED, and CNKI full database search from January 1980 to June 2009 published articles, supplemented by hand searching. English key words Fractional flow reverse, Multivessel coronary artery disease, Percutaneous coronary intervention, Meta analysis, the key words in Chinese for the fractional flow reserve, multi-vessel