References

kpccz

Комплексные проблемы сердечно-сосудистых заболеваний

Complex Issues of Cardiovascular Diseases

2306-12782587-9537

Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”

10.17802/2306-1278-2016-4-81-86

kpccz-240

Research Article

ИНВАЗИВНАЯ КАРДИОЛОГИЯ

INVASIVE CARDIOLOGY

ФРАКЦИОННЫЙ РЕЗЕРВ КАК СПОСОБ ОПРЕДЕЛЕНИЯ ЗНАЧИМОСТИ ТАНДЕМНЫХ И БИФУРКАЦИОННЫХ СТЕНОЗОВ, ПОРАЖЕНИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ J. MALLIDI, MD, MHS; A. LOTFI, MD, FSCAI (Перевод выполнили Н. А. Кочергин , А. М. Кочергина)

FRACTIONAL FLOW RESERVE FOR THE EVALUATION Of TANDEM AND BIFURCATION LESIONS, LEFT MAIN, AND ACUTE CORONARY SYNDROMES J. MALLIDI, MD, MHS; A. LOTFI, MD, FSCAI (Authors of translation N. А. Kochergin , A. M. Kochergina)

КОЧЕРГИН

Н. А.

KOCHERGIN

N. A.

Адрес: 650002, Кемерово,Сосновый бульвар, 6 Тел.: +7-908-952-32-35

Address: 6, Sosnoviy blvd., Kemerovo, 650002, Russian Federation Tel.: +7-908-952-32-35

nikotwin@mail.ru

КОЧЕРГИНА

А. М.

KOCHERGINA

A. M.

2016

02122016

048186

2016

КОЧЕРГИН Н.А., КОЧЕРГИНА А.М.

KOCHERGIN N.A., KOCHERGINA A.M.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.nii-kpssz.com/jour/article/view/240

Пациенты с тандемными и бифуркационными стенозами, поражением ствола левой коронарной артерии и острым коронарным синдромом не включаются в клинические исследования, изучающие фракционный резерв кровотока. Измерение фракционного резерва кровотока, а также интерпретация его результатов представляют особые затруднения, так как в каждом случае имеются особенности коронарной гемодинамики. Согласно имеющимся данным, определение фракционного резерва кровотока при проведении реваскуляризации миокарда является безопасным и эффективным методом, однако доказательная база недостаточна, что обусловливает потребность в дальнейших исследованиях.

Subjects with tandem lesions bifurcation lesions, left main disease and acute coronary syndrome are not included in trials supporting fractional flow reserve (FFR)-guided revascularization. Assessment and interpretation of FFR in these clinical scenarios is technically challenging due to the unique changes in flow hemodynamics in each of these situations. The existing literature supports the safety of using FFR to guide revascularization in these situations; however, the evidence is limited and further research is warranted.

фракционный резерв кровотокатандемный стенозбифуркационные пораженияпоражение ствола левой коронарной артерии.

FFRtandem lesionsbifurcation lesionsleft main disease

References1

Pijls N. H., van Son J. A., Kirkeeide R. L., De Bruyne B., Gould K. L. 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 (4): 1354–1367.

Pijls N. H., van Schaardenburgh P., Manoharan G., Boersma E., Bech J.-W., van’t Veer M. Percutaneous coronary intervention of functionally nonsignificant stenosis: 5-year follow- up of the DEFER Study. J. Am. Coll. Cardiol. 2007; 49 (21): 2105–2111. DOI:10.1016/j.jacc.2007.01.087.

Tonino P. A., De Bruyne B., Pijls N. H., Siebert U., Ikeno F., van’t Veer M. S. Fractional flow reserve versus angiography for guiding percutaneous coronary intervention. N. Engl. J. Med. 2009; 360 (3): 213–224. DOI: 10.1056/NEJMoa0807611.

De Bruyne B., Fearon W. F., Pijls N. H., Barbato E., Tonino P., Piroth Z. Fractional flow reserve-guided PCI for stable coronary artery disease. N. Engl. J. Med. 2014; 37 (13): 1208–1217. DOI: 10.1056/NEJMoa1408758.

De Bruyne B., Pijls N. H., Heyndrickx G. R., Hodeige D., Kirkeeide R., Gould K. L. Pressure- derived fractional flow reserve to assess serial epicardial stenoses: theoretical basis and animal validation. Circulation. 2000; 101 (15): 1840–1847.

Pijls N. H., De Bruyne B., Bech G. J., Liistro F., Heyndrickx G. R., Bonnier H. J. Coronary pressure measurement to assess the hemodynamic significance of serial stenoses within one coronary artery: validation in humans. Circulation. 2000; 102 (19): 2371–2377. DOI: http://dx.doi.org/10.1161/01.CIR.102.19.2371.

Gould K. L., Nakagawa Y., Nakagawa K., Sdringola S., Hess M. J., Haynie M. Frequency and clinical implications of fluid dynamically significant diffuse coronary artery disease manifest as graded, longitudinal, base-to-apex myocardial perfusion abnormalities by noninvasive positron emission tomography. Circulation. 2000; 101 (16): 1931–1939.

Seiler C., Kirkeeide R. L., Gould K. L. Basic structurefunction relations of the epicardial coronary vascular tree. Basis of quantitative coronary arteriography for diffuse coronary artery disease. Circulation. 1992; 85 (6): 1987–2003.

Kim H. L., Koo B. K., Nam C. W., Doh J. H., Kim J. H., Yang H. M. et al. Clinical and physiological outcomes of fractional flow reserve-guided percutaneous coronary intervention in patients with serial stenoses within one coronary artery. JACC. Cardiovasc. Interv. 2012; 5 (10): 1013–1018. DOI: 10.1016/j.jcin.2012.06.017.

Park S. J., Ahn J. M., Pijls N. H., Bruyne B., Shim E. B., Kim Y. T. et al. Validation of functional state of coronary tandem lesions using computational flow dynamics. Am. J. Cardiol. 2012; 110 (11): 1578–1584. DOI: 10.1016/j.amjcard. 2012.07.023.

Louvard Y., Thomas M., Dzavik V., Hildick-Smith D., Galassi A. R., Pan M. et al. Classification of coronary artery bifurcation lesions and treatments: time for a consensus! Catheter. Cardiovasc. Interv. 2008; 71 (2): 175–183. DOI: 10.1002/ccd.21314.

Koo B. K., De Bruyne B. FFR in bifurcation stenting: what have we learned? EuroIntervention. 2010; 6 (Suppl J): 94–98.

Ziaee A., Parham W. A., Herrmann S. C., Stewart R. E., Lim M. J., Kern M. J. Lack of relation between imaging and physiology in ostial coronary artery narrowings. Am. J. Cardiol. 2004; 93 (11): 1404–1407. DOI: 10.1016/j.amjcard.2004.02.041.

Koo B. K., Waseda K., Kang H. J., Kim H. S., Nam C. W., Hur S. H. et al. Anatomic and functional evaluation of bifurcation lesions undergoing percutaneous coronary intervention. Circ. Cardiovasc. Interv. 2010; 3 (2): 113–119. DOI: 10.1161/CIRCINTERVENTIONS.109.887406.

Hildick-Smith D., de Belder A. J., Cooter N., Сurzen N. P., Clayton T. C., Oldroyd K. G. et al. Randomized trial of simple versus complex drugeluting stenting for bifurcation lesions: the British Bifurcation Coronary Study: old, new, and evolving strategies. Circulation. 2010; 121 (10): 1235–1243. DOI: 10.1161/CIRCULATIONAHA.109.888297.

Niemela M., Kervinen K., Erglis A., Holm N. R., Maeng M., Christiansen E. H. et al. Randomized comparison of final kissing balloon dilatation versus no final kissing balloon dilatation in patients with coronary bifurcation lesions treated with main vessel stenting: the Nordic-Baltic Bifurcation Study III. Circulation. 2011; 123 (1): 79–86. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.110.966879.

Colombo A., Bramucci E., Sacca S., Violini R., Lettieri C., Zanini R. et al. Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations: the CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus- Eluting Stents) Study. Circulation. 2009; 119 (1): 71–78. DOI: 10.1161/CIRCULATIONAHA.108.808402.

Williams A. R., Koo B. K., Gundert T. J., Fitzgerald P. J., LaDisa J. F. Jr. Local hemodynamic changes caused by main branch stent implantation and subsequent virtual side branch balloon angioplasty in a representative coronary bifurcation. J. Appl. Physiol. (1985). 2010; 109 (2): 532–540. DOI: 10.1152/japplphysiol.00086.2010.

Gao X. F., Zhang Y. J., Tian N. L., Wu W., Li M. H., Bourantas C. V. et al. Stenting strategy for coronary artery bifurcation with drug-eluting stents: a meta-analysis of nine randomised trials and systematic review. EuroIntervention. 2014; 10 (5): 561–569. DOI: 10.4244/EIJY14M06_06.

Koo B. K., Park K. W., Kang H. J., Cho Y. S., Chung W. Y., Youn T. J. et al. Physiological evaluation of the provisional side-branch intervention strategy for bifurcation lesions using fractional flow reserve. Eur. Heart. J. 2008; 29 (6): 726–732. DOI: http://dx.doi.org/10.1093/eurheartj/ehn045.

Lee B. K., Choi H. H., Hong K. S., Kim B. K., Shim J., Kim J. S. et al. Efficacy of fractional flow reserve measurements at side branch vessels treated with the crush stenting technique in true coronary bifurcation lesions. Clin. Cardiol. 2010; 33 (8): 490–494. DOI: 10.1002/clc.20799.

Park S. H., Koo B. K. Clinical applications of fractional flow reserve in bifurcation lesions. J. Geriatr. Cardiol. 2012; 9 (3): 278–284.

Ratcliffe J. A., Huang Y., Kwan T. A novel technique in the use of fractional flow reserve in coronary artery bifurcation lesions. Int. J. Angiol. 2012; 21 (1): 59–62.

Yusuf S., Zucker D., Peduzzi P., Fisher L. D., Takaro T., Kennedy J. W. et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet. 1994; 344 (8922): 563–570.

Puri R., Kapadia S. R., Nicholls S. J., Harvey J. E., Kataoka Y., Tuzcu E. M. Optimizing outcomes during left main percutaneous coronary intervention with intravascular ultrasound and fractional flow reserve: the current state of evidence. JACC Cardiovasc. Interv. 2012; 5 (7): 697–707. DOI: 10.1016/j.jcin.2012.02.018.

Lindstaedt M., Spiecker M., Perings C., Lawo T., Yazar A., Holland-Letz T. et al. How good are experienced interventional cardiologists at predicting the functional significance of intermediate or equivocal left main coronary artery stenoses? Int. J. Cardiol. 2007; 120 (2): 254–261. DOI: 10.1016/j.ijcard.2006.11.220.

Hamilos M., Muller O., Cuisset T., Ntalianis A., Chlouverakis G., Sarno G. et al. Long-term clinical outcome after fractional flow reserveguided treatment in patients with angiographically equivocal left main coronary artery stenosis. Circulation. 2009; 120 (15): 1505–1512. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.109.850073.

Courtis J., Rodes-Cabau J., Larose E., Potvin J. M., Déry J. P., Larochellière R. D. et al. Usefulness of coronary fractional flow reserve measurements in guiding clinical decisions in intermediate or equivocal left main coronary stenoses. Am. J. Cardiol. 2009; 103 (7): 943– 949. DOI: 10.1016/j.amjcard.2008.11.054.

Bulkley B. H., Roberts W. C. Atherosclerotic narrowing of the left main coronary artery. A necropsy analysis of 152 patients with fatal coronary heart disease and varying degrees of left main narrowing. Circulation. 1976; 53 (5): 823–828.

Yong A. S., Daniels D., De Bruyne B., Kim H. S., Ikeno F., Lyons J. et al. Fractional flow reserve assessment of left main stenosis in the presence of downstream coronary stenoses. Circ. Cardiovasc. Interv. 2013; 6 (2): 161–165.

Jasti V., Ivan E., Yalamanchili V., Wongpraparut N., Leesar M. A. Correlations between fractional flow reserve and intravascular ultrasound in patients with an ambiguous left main coronary artery stenosis. Circulation. 2004; 110 (18): 2831–2836. DOI: http://dx.doi.org/10.1161/01.CIR.0000146338.62813.E7.

Jeremias A., Whitbourn R. J., Filardo S. D., Fitzgerald P. J., Cohen D. J., Tuzcu E. M. et al. Adequacy of intracoronary versus intravenous adenosine-induced maximal coronary hyperemia for fractional flow reserve measurements. Am. Heart. J. 2000; 140 (4): 651–657. DOI: 10.1067/mhj.2000.109920.

Lotfi A., Jeremias A., Fearon W. F., Feldman M. D., Mehran R., Messenger J. C. et al. Expert consensus statement on the use of fractional flow reserve, intravascular ultrasound, and optical coherence tomography: a consensus statement of the society of cardiovascular angiography and interventions. Catheter. Cardiovasc. Interv. 2014; 83 (4): 509–518. DOI: 10.1002/ccd.25222.

The authors declare that there are no conflicts of interest present.