FFR measurement in the LAD and troubleshooting

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Summary

FFR measurement is performed using the Navvus pressure micro catheter.  Dr. Nicolas M. Van Mieghem shows how to troubleshoot variability in FFR measurement to get a stable FFR and useable FFR measurement. 

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Target Audience

  • Interventional cardiologists
  • Interventional cardiology fellows
  • Cardiologists taking care of patients with coronary artery disease
  • Catheterisation laboratory nursing and technical staff and healthcare professionals
  • Windecker S, Kolh P, Alfonso F, et al. 2014 ESC/EACTS Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2014;35:2541–2619.
  • Pijls NH, Tanaka N, Fearon WF. Functional assessment of coronary stenosis: can we live without it? Eur. Heart J. 2013;34:1335-1344.
  • Diletti R, Van Mieghem NM, Valgimigli M, et al. Rapid exchange ultra-thin microcatheter using fibre-optic sensing technology for measurement of intracoronary fractional flow reserve. EuroIntervention. 2015;11:428-432.

Learning Objectives

This case is to inform and educate interventional cardiologists on:

  • Strategy selection to approach significant true bifurcation lesions
  • Implementation of FFR assessment in bifurcation lesions
  • Implementation of FFR in side-branch assessment after provisional stenting
  • Use of microcatheter based FFR technology
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