When Functional Assessment Meets Intravascular Imaging in Patients with Coronary Artery Disease.

IF 2.3 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Development and Disease Pub Date : 2025-08-20 DOI:10.3390/jcdd12080319

Grigorios Tsigkas, Kassiani-Maria Nastouli, Anastasios Apostolos, Panagiota Spyropoulou, Maria Bozika, Michail I Papafaklis, Stella Rouzi, Effrosyni Tsimara, Antonios Karanasos, Virginia Mplani, Periklis Davlouros

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Abstract

Percutaneous Coronary Intervention (PCI) has advanced significantly with the incorporation of imaging and physiology assessment techniques. Fractional Flow Reserve (FFR) and Non-Hyperemic Pressure indices (NHPIs) provide information regarding the functional significance of coronary lesions, while Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) enhance anatomical characterization and guide stent implantation. This review explores the implementation of physiology- and imaging-guided strategies in clinical practice, comparing their efficacy and limitations. Novel technologies now allow for physiology estimation without hyperemic agents, and hybrid techniques, such as OCT-derived FFR, are increasingly integrated into clinical practice. These approaches offer the combined advantages of functional assessment and detailed anatomical imaging.

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当冠状动脉疾病患者的功能评估符合血管内成像时。

经皮冠状动脉介入治疗（PCI）随着影像和生理评估技术的结合而取得了显著进展。分数血流储备（FFR）和非充血压力指数（nhpi）提供了有关冠状动脉病变功能意义的信息，而血管内超声（IVUS）和光学相干断层扫描（OCT）增强了解剖特征和指导支架植入。这篇综述探讨了生理和影像引导策略在临床实践中的实施，比较了它们的疗效和局限性。现在，新技术允许在没有充血剂的情况下进行生理估计，并且混合技术，如oct衍生的FFR，越来越多地融入临床实践。这些方法提供了功能评估和详细解剖成像的综合优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiovascular Development and Disease CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

12.50%

发文量

381