Computerised Methodologies for Non-Invasive Angiography-Derived Fractional Flow Reserve Assessment: A Critical Review
Joint Authors
Bourantas, Christos V.
Torii, Ryo
Ramasamy, Anantharaman
Jin, Chongying
Tufaro, Vincenzo
Bajaj, Retesh
Kilic, Yakup
Safi, Hannah
Amersey, Rajiv
Lansky, Alexandra
Mathur, Anthony
Baumbach, Andreas
Jones, D. A.
Source
Journal of Interventional Cardiology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Fractional flow reserve is the gold standard for assessing the haemodynamic significance of intermediate coronary artery stenoses.
Cumulative evidence has shown that FFR-guided revascularisation reduces stent implantations and improves patient outcomes.
However, despite the wealth of evidence and guideline recommendations, its use in clinical practice remains minimal.
Patient and technical limitations of FFR as well as the need for intracoronary instrumentation, use of adenosine, and increased costs have limited FFR’s applicability in clinical practice.
Over the last decade, several angiography-derived FFR software packages have been developed which do not require intracoronary pressure assessment with a guidewire or need for administration of hyperaemic agents.
At present, there are 3 commercially available software packages and several other non-commercial technologies that have been described in the literature.
These technologies have been validated against invasive FFR showing good accuracy and correlation.
However, the methodology behind these solutions is different—some algorithms are based on solving the governing equations of fluid dynamics such as the Navier–Stokes equation while others have opted for a more simplified mathematical formula approach.
The aim of this review is to critically appraise the methodology behind all the known angiography-derived FFR technologies highlighting the key differences and limitations.
American Psychological Association (APA)
Ramasamy, Anantharaman& Jin, Chongying& Tufaro, Vincenzo& Bajaj, Retesh& Kilic, Yakup& Safi, Hannah…[et al.]. 2020. Computerised Methodologies for Non-Invasive Angiography-Derived Fractional Flow Reserve Assessment: A Critical Review. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1187834
Modern Language Association (MLA)
Ramasamy, Anantharaman…[et al.]. Computerised Methodologies for Non-Invasive Angiography-Derived Fractional Flow Reserve Assessment: A Critical Review. Journal of Interventional Cardiology No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1187834
American Medical Association (AMA)
Ramasamy, Anantharaman& Jin, Chongying& Tufaro, Vincenzo& Bajaj, Retesh& Kilic, Yakup& Safi, Hannah…[et al.]. Computerised Methodologies for Non-Invasive Angiography-Derived Fractional Flow Reserve Assessment: A Critical Review. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1187834
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1187834