Fractional flow reserve in definition for futher endovascular intervention in «false» bifurcation coronary lesions

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Abstract


Main vessel stenting in the «false» bifurcation coronary lesions compromises side branch vessel ostium often. Functional significance of the side vessel ostium narrowing after main vessel stenting was defined in 40 patients with II-III classes of stable angina pectoris with isolated «false» bifurcation coronary lesions by means of a fractional flow reserve (FFR). Average side branch vessel ostium narrowing was 69,8 ± 8,7%, average value of FFR was detected 0,83 ± 0,06. It was noted, that the visual estimation and the quantitative coronary angiography are unreliable methods in assessment of the severity of side branch vessel ostium narrowing. The results of our study demonstrate, that if FFR > 0,75 it is out of any benefit to conduct additional kissing balloon angioplasty of side brahch vessel ostium. Moreover, it was associated with high risk of side branch vessel dissection and ischemic myocardium injury.

M U Movsesyants

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

V A Ivanov

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

I V Trunin

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

A V Ivanov

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

U A Bobkov

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

S A Terekhin

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

Central Military Clinical Hospital № 3 after A.A. Vishnevsky

V V Mayskov

Peoples' Friendship University of Russia

Кафедра госпитальной хирургииМедицинский факультет; Российский университет дружбы народов; Peoples' Friendship University of Russia

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Copyright (c) 2009 Мовсесянц М.Ю., Иванов В.А., Трунин И.В., Иванов А.В., Бобков Ю.А., Терехин С.А., Майсков В.В.

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