Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report

Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report

Abstract Background It is difficult to choose correctly interventional strategy for coronary intermediate lesions combined with myocardial bridge. Endovascular imaging is advocated to guide treatment, but flow reserve fraction (FFR) is not recommended to guide the interventional treatment of myocard...

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Autores principales: Yuecheng Hu, Hongliang Cong, Liuying Zheng, Dongxia Jin
Formato: article
Lenguaje:EN
Publicado: BMC 2021
Materias:
Unstable angina pectoris
Flow reserve fraction
Intravenous ultrasound
Percutaneous coronary intervention
Myocardial bridge
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
Acceso en línea:https://doaj.org/article/6bdc40827c364eb193b7111de09547b0
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spelling oai:doaj.org-article:6bdc40827c364eb193b7111de09547b02021-11-28T12:30:57ZFlow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report10.1186/s13019-021-01720-71749-8090https://doaj.org/article/6bdc40827c364eb193b7111de09547b02021-11-01T00:00:00Zhttps://doi.org/10.1186/s13019-021-01720-7https://doaj.org/toc/1749-8090Abstract Background It is difficult to choose correctly interventional strategy for coronary intermediate lesions combined with myocardial bridge. Endovascular imaging is advocated to guide treatment, but flow reserve fraction (FFR) is not recommended to guide the interventional treatment of myocardial bridge disease because of the inaccurate judgment misled by myocardial bridge. Case presentation In this study, we reported a case of a 56-year-old male patient with unstable angina pectoris (UAP). From his coronary angiography, we found diffuse stenosis near the midsection of the left anterior descending (LAD) branch and the presence of a severe myocardial bridge in the lesion area. We were sure that the LAD was culprit vessel and this lesion was culprit lesion. Both FFR and intravenous ultrasound (IVUS) were performed and the conclusions of them are different. Although stent implantation is not usually recommended in the myocardial bridge area. However, after careful examination, a stent was finally implanted under the precise guidance of FFR. And the patient recovered well up-to now. Conclusions This case illustrates that FFR functional test was complimentary to intravascular imaging test for the coronary intermediate lesion, especially the lesion wrapped with myocardial bridges, both in assessing the lesion and in guiding treatment.Yuecheng HuHongliang CongLiuying ZhengDongxia JinBMCarticleUnstable angina pectorisFlow reserve fractionIntravenous ultrasoundPercutaneous coronary interventionMyocardial bridgeSurgeryRD1-811AnesthesiologyRD78.3-87.3ENJournal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Unstable angina pectoris
Flow reserve fraction
Intravenous ultrasound
Percutaneous coronary intervention
Myocardial bridge
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
spellingShingle Unstable angina pectoris
Flow reserve fraction
Intravenous ultrasound
Percutaneous coronary intervention
Myocardial bridge
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
Yuecheng Hu
Hongliang Cong
Liuying Zheng
Dongxia Jin
Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
description Abstract Background It is difficult to choose correctly interventional strategy for coronary intermediate lesions combined with myocardial bridge. Endovascular imaging is advocated to guide treatment, but flow reserve fraction (FFR) is not recommended to guide the interventional treatment of myocardial bridge disease because of the inaccurate judgment misled by myocardial bridge. Case presentation In this study, we reported a case of a 56-year-old male patient with unstable angina pectoris (UAP). From his coronary angiography, we found diffuse stenosis near the midsection of the left anterior descending (LAD) branch and the presence of a severe myocardial bridge in the lesion area. We were sure that the LAD was culprit vessel and this lesion was culprit lesion. Both FFR and intravenous ultrasound (IVUS) were performed and the conclusions of them are different. Although stent implantation is not usually recommended in the myocardial bridge area. However, after careful examination, a stent was finally implanted under the precise guidance of FFR. And the patient recovered well up-to now. Conclusions This case illustrates that FFR functional test was complimentary to intravascular imaging test for the coronary intermediate lesion, especially the lesion wrapped with myocardial bridges, both in assessing the lesion and in guiding treatment.
format article
author Yuecheng Hu
Hongliang Cong
Liuying Zheng
Dongxia Jin
author_facet Yuecheng Hu
Hongliang Cong
Liuying Zheng
Dongxia Jin
author_sort Yuecheng Hu
title Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
title_short Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
title_full Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
title_fullStr Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
title_full_unstemmed Flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
title_sort flow reserve fraction: the optimal choice in lesion assessing and interventional guiding for patient with unstable angina pectoris and intermediate lesion wrapped with myocardial bridge: a case report
publisher BMC
publishDate 2021
url https://doaj.org/article/6bdc40827c364eb193b7111de09547b0
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AT hongliangcong flowreservefractiontheoptimalchoiceinlesionassessingandinterventionalguidingforpatientwithunstableanginapectorisandintermediatelesionwrappedwithmyocardialbridgeacasereport
AT liuyingzheng flowreservefractiontheoptimalchoiceinlesionassessingandinterventionalguidingforpatientwithunstableanginapectorisandintermediatelesionwrappedwithmyocardialbridgeacasereport
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