FFR_临床应用培训讲学.pptVIP

Various size, various amount of supplying myocardium Side branch ostial lesion is unique Underlying plaque ? Eccentric plaque Remodeling ? Negative remodeling Mechanisms of luminal narrowing Carina shift, plaque shift, stent struts, thrombus….. Why discrepancy between anatomy and physiology? Koo BK. et al, Circ Cardiovasc Intv 2010:3:113 Fractional Flow Reserve FFR vs. % diameter stenosis in Jailed side branches Percent Stenosis (%) 影像学是否能预测受累边支功能学的意义？ Courtesy to Dr Koo FFR=0.67 FFR=0.93 FFR=0.95 FFR=0.74 Courtesy of Dr Colombo and Dr Airoldi FFR=0.92 Is FFR needed or useful? Seoul National