Cor Vasa 2010, 52(10):639-642 | DOI: 10.33678/cor.2010.163

Fractional flow reserve in the diagnosis of focal and diffuse stenosis of coronary artery

Krystyna Prymusová1,*, Petr Kala2, Martin Poloczek2, Petr Jeřábek2, Otokar Boček2, Miroslav Vytiska2, Petr Neugebauer2
1 Oddělení kardiologie, Kardiocentrum, Nemocnice Podlesí, a. s., Třinec
2 Interní kardiologická klinika, Fakultní nemocnice Brno, Brno, Česká republika

We present the case report of a patient with a history of acute ST elevation myocardial infarction (STEMI) of the left ventricular inferolateral wall, treated with percutaneous coronary intervention (PCI) of the obtuse marginal branch. Residual diffuse stenosis of the left anterior descending artery (LAD) was tested functionally with fractional flow reserve (FFR). The lesion was evaluated as significant and was partially treated with PCI using implantation of two drug-eluting stents. The functionally optimal outcome enabled partial revascularization with residual borderline distal stenosis of LAD. Functional testing of borderline coronary stenoses using FFR in a cathether laboratory renders decision making about effective treatment significantly easier.

Keywords: Coronary heart disease; Percutaneous coronary intervention; Myocardial fractional flow reserve

Published: October 1, 2010  Show citation

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Prymusová K, Kala P, Poloczek M, Jeřábek P, Boček O, Vytiska M, Neugebauer P. Fractional flow reserve in the diagnosis of focal and diffuse stenosis of coronary artery. Cor Vasa. 2010;52(10):639-642. doi: 10.33678/cor.2010.163.
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