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冠状动脉CT血管造影衍生的血流储备分数检测在稳定型冠状动脉疾病患者中的应用:解读与报告建议

Coronary CT Angiography-derived Fractional Flow Reserve Testing in Patients with Stable Coronary Artery Disease: Recommendations on Interpretation and Reporting.

作者信息

Nørgaard Bjarne L, Fairbairn Timothy A, Safian Robert D, Rabbat Mark G, Ko Brian, Jensen Jesper M, Nieman Koen, Chinnaiyan Kavitha M, Sand Niels Peter, Matsuo Hitoshi, Leipsic Jonathon, Raff Gilbert

机构信息

Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus, Denmark (B.L.N., J.M.J.); Liverpool Centre for Cardiovascular Science, Liverpool Heart and Chest Hospital, Liverpool, England (T.A.F.); Department of Cardiology and Radiology, Beaumont Health System, Royal Oak, Mich (R.D.S., K.M.C., G.R.); Division of Cardiology, Loyola University Chicago, Chicago, Ill (M.G.R.); Monash Cardiovascular Research Centre, Monash University, Monash University and MonashHeart, Monash Health, Clayton, Victoria, Australia (B.K.); Department of Cardiology, Stanford University School of Medicine, Palo Alto, Calif (K.N.); Department of Cardiology, Hospital of Southwest DK, Esbjerg, Denmark (N.P.S.); Department of Cardiovascular Medicine, Gifu Heart Center, Gifu, Japan (H.M.); and Department of Medical Imaging, St Paul's Hospital, Vancouver, Canada (J.L.).

出版信息

Radiol Cardiothorac Imaging. 2019 Nov 21;1(5):e190050. doi: 10.1148/ryct.2019190050. eCollection 2019 Dec.

Abstract

Noninvasive fractional flow reserve derived from coronary CT angiography (FFR) is increasingly used in patients with coronary artery disease as a gatekeeper to the catheterization laboratory. While there is emerging evidence of the clinical benefit of FFR in patients with moderate coronary disease as determined with coronary CT angiography, there has been less focus on interpretation, reporting, and integration of FFR results into routine clinical practice. Because FFR analysis provides a plethora of information regarding pressure and flow across the entire coronary tree, standardized criteria on interpretation and reporting of the FFR analysis result are of crucial importance both in context of the clinical adoption and in future research. This report represents expert opinion and recommendation on a standardized FFR interpretation and reporting approach. Published under a CC BY 4.0 license.

摘要

源自冠状动脉CT血管造影(FFR)的无创血流储备分数越来越多地用于冠心病患者,作为进入导管室的筛选标准。虽然有新证据表明,对于经冠状动脉CT血管造影确定为中度冠心病的患者,FFR具有临床益处,但对FFR结果的解读、报告以及将其纳入常规临床实践的关注较少。由于FFR分析提供了有关整个冠状动脉树压力和血流的大量信息,因此FFR分析结果的解读和报告的标准化标准在临床应用和未来研究方面都至关重要。本报告代表了关于FFR标准化解读和报告方法的专家意见和建议。根据知识共享署名4.0许可协议发布。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a610/7977999/7624ea7bdfb1/ryct.2019190050.fig1a.jpg

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本文引用的文献

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