Slow angio flow not always equal slow measured flow by Doppler known yes ago. True today.

#COMPLEXPCI2023

💥Physiology-Guided Decision-Making for Complex PCl

Is there any role of Physiological assessment in Complex PCI ?

summitmd_cvrf #cardioTwitter

#COMPLEXPCI2023

💥Physiological assessment can help in:

✔ Guiding stenting strategy for LM/Bifurcation PCI
✔ Safe Deferral of Stenting in apparently severe disease on angio assessment

summitmd_cvrf #cardioTwitter

Results from the FISH&CHIPS study found a significant reduction in all-cause & CV mortality during the time period in which FFRct was available, compared to the time period where FFRct was not available in NHS England hospitals. Read the UK-based study: bit.ly/3OFsai0.

Coronary atherosclerotic plaque phenotypes associated w/ intracoronary hemodynamics. Learn more in this multinational #JACCIMG #cvCAD study utilizing #YesCCT , OCT, FFR, & pullback pressure gradients: bit.ly/3QUFRMH

#Atherosclerosis Takuya Mizukami Carlos Collet MD PhD Daniel Munhoz

The future is here.

🚀 Coronary Physiology Breakthrough!💎

🗝️The LAD has a lower post-PCI FFR compared to the right and circumflex arteries (0.86 vs 0.93)

🔍 But here's the real twist: The link between post-PCI FFR and MACE is 📈 stronger in the non-LAD arteries

🔍Post-PCI FFR is vessel specific

Bilal Aijaz Srihari S. Naidu, MD Sunil V. Rao SCAI Now American College of Cardiology Joseph Marine Sandeep Nathan, MD, MSc Ian C Gilchrist Sr Morton J Kern Yuri Pride As soon as I see a normal lumen, I switch from “Disease Seeking “ to “Complication Avoiding.” If the indication predicts stenosis, the most you typically find is spontaneous coronary artery dissection in which the entire artery tree can be fragile— not just the stenotic part

There is no “it’ll be a quick diagnostic”/“just a left heart cath”/“ill just shoot the cors”. For all trainees, and early careers: Always have an appropriate indication, documentation, discussion and some reservation. Please add additional wisdom..

Alissa Mitchell I thought this 4-line tweet from Emily Moin pretty much nailed it...

The first coronary angioplasty was performed by Andreas Grüntzig on 16 September 1977

A UN resolution in 2022 has declared this day henceforth as the International Day for Interventional Cardiology to raise awareness of CVD & procedures as well as prevention and care. It notes…

Now online and free to download our review on the #FullPhysiology approach, a complete and EASY physiological assessment to perform more diagnoses, more appropriate treatments and better clinical results. Gianluca Campo Italo Porto Roberto Scarsini Simone Biscaglia

Cath lab OLV HartcentrumAalst

👨🏻‍🎓Fellow: Should we do PCI in all cases when FFR < 0.80?

👩‍⚕️Nurse: Depends on the PPG

👨🏻‍⚕️Me: 😍🤩

🔑Diffuse pressure losses CAN NOT be fixed with PCI

📍We stopped doing PCI in cases with PPG<0.40 even when FFR <0.80

Simone Biscaglia Tom Johnson

Srihari S. Naidu, MD Anju Bhardwaj MD FACC Dr. Purvi Parwani Bailey Ann Estes Ankur Kalra Alex Truesdell Dmitriy N. Feldman, MD Matthew W Martinez C. Michael Gibson MD Sunil V. Rao Dr Roxana Mehran Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Binita Shah Eugenia Gianos MD Rachel-Maria Brown Talaska, M.D. Giorgio A. Medranda MD, FACC, FAHA, FSCAI Sei Iwai Same in Amsterdam…

#CoronaryPhysiology
#MultiVesselDisease

F A M E 3 trial

3y follow-up
FFR-Guided PCI vs CABG
3-VD

👇
ahajournals.org/doi/10.1161/CI…

👋 Frederik Zimmerman, Nico Pijls Piroth Zsolt Thomas Engstrøm Bernard De Bruyne William Fearon

#LandmarkTrial

#PhysiologyFirst

#CoronaryPhysiology
#ArtificialIntelligence

A I T E C H N I Q U E S
for F F R estimation:

❓What are the methods

❓Which imaging tools

❓How’s it done

#MetaAnslysis

👇
bmccardiovascdisord.biomedcentral.com/counter/pdf/10…

👋 A Farhad, K Zahra

A classic tracing. Ao upstroke vertical w LV upstroke. The BBM sign post PVC. Intraventricular gradient goes away while LV pressure under the valve is maintained LV= Ao systole. Fellows don’t forget this board image.

#CoronaryPhysiology

FFR - D E F E R R E D
…now what❓

Optimal L D L - C management

in case of
intermediate stenosis (0.81–0.85)
with deferred PCI on basis of FFR

👇
nature.com/articles/s4159…

👋Drs Takuro Abe, Kentaro Jujo 

#FFR #Deferral #Cholesterol