Evaluating equivocal left main stenosis with fractional flow reserve – not all daughter vessels are created equally

Ahmed Almomani, Abdul Rahman Abdel-Karim, Barry F. Uretsky

Research output: Contribution to journalArticlepeer-review

Abstract

Fractional flow reserve (FFR) evaluation of intermediate left main coronary artery (LMCA) stenosis has been validated in clinical decision-making. However, the size of the daughter vessel, in which the FFR transducer is placed and the amount of myocardium it subtends, has received less attention. We present a case that demonstrates the importance of transducer location, size of the daughter vessel and the amount of subtended myocardium in evaluation of LMCA stenosis, pointing out potential pitfalls.

Original languageEnglish (US)
Pages (from-to)38-40
Number of pages3
JournalHeart International
Volume13
Issue number2
DOIs
StatePublished - 2019

Keywords

  • Angiography
  • Coronary revascularisation
  • Fractional flow reserve
  • Intravascular ultrasound
  • Left main disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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