PMID: 9525557Apr 3, 1998Paper

Long-term follow-up after deferral of percutaneous transluminal coronary angioplasty of intermediate stenosis on the basis of coronary pressure measurement

Journal of the American College of Cardiology
G J BechN H Pijls

Abstract

This study sought to determine the safety of deferral of percutaneous transluminal coronary angioplasty (PTCA) of angiographically intermediate but functionally nonsignificant stenosis, as assessed by coronary pressure measurement and myocardial fractional flow reserve (FFRmyo). Decision making in patients with chest pain and intermediate coronary stenosis remains difficult. In these cases it is unclear whether the risk of an intervention and the potentially subsequent restenosis outweigh the future risk of an event if the lesion remains untreated. FFRmyo is a lesion-specific functional index of epicardial stenosis severity that accurately distinguishes stenoses associated with inducible ischemia. Retrospective analysis and follow-up was performed in 100 consecutive patients referred to our centers for PTCA of an intermediate stenosis but in whom the planned intervention was deferred on the basis of an FFRmyo > or = 0.75. During a follow-up period of 18+/-13 months (mean +/- SD, range 3 to 42), two patients died of noncardiac causes. Ninety patients remained free of any coronary events, and their average Canadian Cardiovascular Society class decreased from 2.0+/-1.2 at baseline to 0.7+/-0.9 at follow-up (p < 0.0001). A coronary...Continue Reading

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References

Aug 1, 1991·Journal of the American College of Cardiology·J D RossenM D Winniford
Nov 1, 1990·Circulation·R F WilsonD D Laxson
Jan 1, 1995·Journal of the American College of Cardiology·M J KernB Chaitman
Jun 27, 1996·The New England Journal of Medicine·N H PijlsJ J Koolen
Jun 27, 1996·The New England Journal of Medicine·R F Wilson
Dec 1, 1995·Catheterization and Cardiovascular Diagnosis·B Meier, S Ramamurthy
Oct 1, 1996·Catheterization and Cardiovascular Diagnosis·P H van der VoortN H Pijls

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Citations

May 1, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S J DuffyI T Meredith
Dec 18, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M J Kern
Jan 8, 2011·The International Journal of Cardiovascular Imaging·Jerry T WongSabee Molloi
Apr 11, 2009·Annals of Nuclear Medicine·Philipp A Kaufmann
Sep 1, 2011·Cardiovascular Intervention and Therapeutics·Akiko MatsuoMasato Nishimura
Jul 21, 2004·International Journal of Cardiology·S H J MonninkD J van Veldhuisen
Dec 14, 2005·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Marcus HackerReinhold Tiling
Dec 14, 2005·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·K Lance Gould
Apr 26, 2003·The American Journal of Cardiology·Pierre LegaleryJean-Pierre Bassand
Oct 30, 1999·The Annals of Thoracic Surgery·L GrubergM B Leon
Feb 6, 1999·Journal of the American College of Cardiology·M FerrariH R Figulla
Nov 7, 1999·Journal of the American College of Cardiology·P N RuygrokP W Serruys
Jun 11, 2002·Journal of Interventional Cardiology·M J Hernández GarcíaE de Teresa Galván
May 4, 2006·Heart·Lucy J Blows, Simon R Redwood
Jan 28, 2014·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Karine MoschettiJuerg J Schwitter
Sep 24, 2010·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·N OudY Appelman
Apr 6, 2012·The International Journal of Cardiovascular Imaging·Peter BernhardtJochen Wöhrle
Oct 15, 2013·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Luísa Vilalonga PereiraAna Almeida
Dec 8, 2009·Cardiology Clinics·Narbeh MelikianCarlo Di Mario
Jul 25, 2015·Progress in Cardiovascular Diseases·Sandra Weiss, William Weintraub
May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Faisal SharifBernard De Bruyne
Nov 11, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James C BlankenshipUNKNOWN Society for Cardiovascular Angiography and Interventions
Mar 22, 2014·Clinical Cardiology·Islam Y ElgendyAnthony A Bavry
Nov 17, 2009·Clinical Physiology and Functional Imaging·Jussi P PärkkäVesa Järvinen
Jun 6, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Bruno R NascimentoMarco A Costa
Jan 13, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Valeria MagniAntonio Colombo
Feb 22, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Martijn MeuwissenJan J Piek
May 3, 2006·Journal of Interventional Cardiology·Manuel F Jiménez-NavarroEduardo De Teresa
Jul 22, 2014·Clinical Cardiology·Anthony A BavryJohn W Petersen
Feb 21, 2004·Journal of the American College of Cardiology·Shunichi OgawaYasuhiro Katsube
Feb 27, 2007·Journal of the American College of Cardiology·Jonathan TobisLeo Slavin
Feb 2, 2010·Journal of the American College of Cardiology·Morton J Kern, Habib Samady
Mar 1, 2002·Journal of the American College of Cardiology·D Douglas Miller
Jun 6, 2006·Journal of the American College of Cardiology·Jeffrey W MosesRoxana Mehran
Mar 20, 2010·JACC. Cardiovascular Interventions·Narbeh MelikianBernard De Bruyne

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