Should we treat patients with moderately severe stenosis of the left main coronary artery and negative FFR results?

Journal of Invasive Cardiology

Volumn 16, Issue 8, 2004, Pages 398-400

  Jiménez Navarro, Manuel ^a   Hernández Garcia, José María ^a   Alonso Briales, Juan H ^a   Kühlmorgen, Birgit ^a   Gómez Doblas, Juan José ^a   García Pinilla, José Manuel ^a   López Salguero, Raúl ^a   De Teresa Galván, Eduardo ^a  

^a HOSPITAL UNIVERSITARIO VIRGEN DE LA VICTORIA   (Spain)

Author keywords

Coronary flow; Coronary stenosis; Follow up; Fractional flow reserve; Hemodynamics; Pressure

Indexed keywords

ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; CORONARY ARTERY BLOOD FLOW; CORONARY ARTERY OBSTRUCTION; CORONARY ARTERY RECANALIZATION; DISEASE SEVERITY; FEMALE; FOLLOW UP; HEMODYNAMIC MONITORING; HUMAN; LEFT CORONARY ARTERY; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; PROGNOSIS; TREATMENT INDICATION; TREATMENT OUTCOME;

CORONARY ANGIOGRAPHY; CORONARY CIRCULATION; CORONARY STENOSIS; DECISION MAKING; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL REVASCULARIZATION; PROGNOSIS; PROSPECTIVE STUDIES; SAFETY; SEVERITY OF ILLNESS INDEX; SYNDROME; TREATMENT OUTCOME;

EID: 4143091661     PISSN: 10423931     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Herrick J. Clinical features of sudden obstruction of the coronary arteries. J Am Med Assoc 1912;59:2015-2020.
2. Bergelson BA and Tommaso CL. Left main coronary artery disease assessment, diagnosis and therapy. Am Heart J 1995;129:350-359.
3. Oberman A, Kouchoukos NT, HarRell HR, et al. Surgical versus medical treatment in disease of the left main coronary artery. Lancet 1976;2:591-594.
4. Caracciolo EA, Davis KB, Sopko G, for the CASS Investigators. Comparison of surgical and medical group survival in patients with left main coronary Aartery disease. Circulation 1995;91:2325-2334.
5. Tan WA and Tamai H, Park S, for the ULTIMA Investigators. Long-term clinical outcomes after unprotected left main trunk percutaneous revascularization in 279 patients. Circulation 2001;104:1609-1614.
6. Ellis SG, Hill CM, Lytle BW. Spectrum of surgical risk for left main coronary stenoses: benchmark for potentially competing percutaneous therapies. Am Heart J 1998;135:335-338.
7. Cameron A, Kemp HG, Fischer LD, et al. Left main coronary artery stenosis: Angiographic determination. Circulation 1983;68:484-489.
8. Dewey TM, Magee MJ, Edgerton JR, et al. Off-pump bypass grafting is safe in patients with left main coronary disease. Ann Thorac Surg 2001;72:788-791.
9. Pijls NH, van Son AM, Kirkeeide RL, et al. Experimental basis of determining maximum coronary myocardial, and collateral blood flow by pressure measurements for assessing functional stenosis severity before and after percutaneous transluminal coronary angioplasty. Circulation 1993;87:1354-1367.
10. Pijls NH, De Bruyne B, Peels K, et al. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenosis. N Engl J Med 1996;334:1703-1708.
11. Bech GJW, Droste H, Pijls NHJ, et al. Value of fractional flow reserve in making decisions about bypass surgery for equivocal left main coronary disease. Heart 2001;36:547-552.
12. Kaplan EL, Meier P. Nonparametric estimation of incomplete observations. J Am Stat Assoc 1958;53:457-481.
13. Bech GJW, De Bruyne B, Bonnier HJ, et al. Long-term follow-up after deferral of percutaneous transluminal coronary angioplasty of intermediate stenosis on the basis of coronary pressure measurements. J Am Coll Cardiol 1998;31:841-847.
14. Bech GJW, De Bruyne B, Pijls NHJ, et al. Fractional flow reserve to determine the appropriateness of angioplasty in moderate coronary stenosis: A randomized trial. Circulation 2001;103:2928-2934.
15. Hernández-García JM, Alonso-Briales JA, Jiménez-Navarro MF, et al. Clinical management of patients with coronary syndromes and negative fractional flow reserve findings. J Interven Cardiol 2001;14:505-510.
16. Ischinger T, Gruentzig AR, Hollman J, et al. Should coronary arteries with less than 60% diameter stenosis be treated by angioplasty? Circulation 1983;68:148-154.
17. Hashimoto H, Isshiki T, Ikari Y, et al. Effects of competitive blood flow on arterial graft patency and diameter. Medium-term postoperative follow-up. J Thorac Cardiovasc Surg 1996;1112:399-407.
18. Abizaid A, Mintz G, Abizaid A, et al. One-year follow-up after intravascular ultrasound assessment of moderate left main coronary artery disease in patients with ambiguous angiograms. J Am Coll Cardiol 1999;34:707-715.
19. Ricciardi MJ, Meyers S, Choi K, et al. Angiographically silent left main disease detected by intravascular ultrasound: A marker for future adverse cardiac events. Am Heart J 2003;1463:507-512.