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Recent insights into the treatment of stable CAD : FFR-guided PCI vs. medical therapy.

作者信息

van Nunen L X, Tonino P A L

机构信息

Department of Cardiology, Catharina Hospital Eindhoven, Michelangelolaan 2, Eindhoven, The Netherlands.

出版信息

Herz. 2013 Jun;38(4):376-81. doi: 10.1007/s00059-013-3806-2.

DOI:10.1007/s00059-013-3806-2
PMID:23588609
Abstract

Cornerstones in the treatment of coronary artery disease (CAD) are medical therapy and coronary revascularization. In acute settings (ST-elevation myocardial infarction and non-ST-elevation myocardial infarction), percutaneous coronary intervention (PCI) has proven to improve prognosis. The optimal treatment of stable CAD is subject to great controversy. By using fractional flow reserve to guide PCI, it is possible to stent only those lesions that induce myocardial ischemia. This review aims to reflect on the use of FFR-guided PCI in stable CAD.

摘要

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引用本文的文献

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[Percutaneous coronary intervention versus bypass surgery in patients with diabetes and multivessel coronary disease. Coronary revascularization after FREEDOM].糖尿病合并多支冠状动脉疾病患者的经皮冠状动脉介入治疗与搭桥手术比较。FREEDOM研究后的冠状动脉血运重建
Herz. 2014 May;39(3):331-42. doi: 10.1007/s00059-014-4089-y.
2
Noninvasive fractional flow reserve measurement in stable CAD.稳定型冠心病的无创血流储备分数测量
Herz. 2015 May;40(3):452-3. doi: 10.1007/s00059-013-4000-2.
3
Efficacy and safety of sirolimus-eluting stents versus bare-metal stents in coronary artery disease patients with diabetes: a meta-analysis.

本文引用的文献

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Fractional flow reserve-guided PCI versus medical therapy in stable coronary disease.临界血流储备分数指导下的经皮冠状动脉介入治疗与稳定型冠心病的药物治疗。
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Eur Heart J. 2010 Oct;31(20):2501-55. doi: 10.1093/eurheartj/ehq277. Epub 2010 Aug 29.
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Angiographic versus functional severity of coronary artery stenoses in the FAME study fractional flow reserve versus angiography in multivessel evaluation.在 FAME 研究中，血管造影与功能严重程度评估冠状动脉狭窄：血流储备分数与多血管造影比较。
J Am Coll Cardiol. 2010 Jun 22;55(25):2816-21. doi: 10.1016/j.jacc.2009.11.096.
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A randomized trial of therapies for type 2 diabetes and coronary artery disease.2型糖尿病与冠状动脉疾病治疗的随机试验
N Engl J Med. 2009 Jun 11;360(24):2503-15. doi: 10.1056/NEJMoa0805796. Epub 2009 Jun 7.
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Fractional flow reserve versus angiography for guiding percutaneous coronary intervention.血流储备分数与血管造影术在指导经皮冠状动脉介入治疗中的比较
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Frequency of stress testing to document ischemia prior to elective percutaneous coronary intervention.在择期经皮冠状动脉介入治疗前，通过压力测试记录缺血情况的频率。
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