所属 医学部 医学科（東京女子医科大学病院） 職種 助教
|発表タイトル||Predictors of "Visual-functional Mismatch" in Contemporary Practice - The Characteristics Associating with Mismatch between Angiographic Stenosis and Hybrid Ifr-Ffr Strategy -|
|会議名||The 81st Annual Scientific Meeting of the Japanese Circulation Society (JCS2017)|
|主催者||Japanese Circulation Society|
|発表者・共同発表者||◎MORIOKA Yuta, ARASHI Hiroyuki, YAMAGUCHI Junichi, KADOWAKI Hiromu, TANAKA Kazuki, ITANI Ryosuke, OOTSUKI Hisao, HARUKI Shintaro, NAKAO Masashi, JUJO Kentaro, MINAMI Yuichiro, OGAWA Hiroshi, HAGIWARA Nobuhisa|
|学会抄録||PROGRAM JCS 2017 328|
|概要||Purpose: To clarify the relation between angiographic and functional severity under hybrid IFR-FFR strategy.
Method and Results: We analyzed 252 patients (340 lesions) undergoing CAG and IFR-FFR evaluation. Relation between IFR and % diameter stenosis (DS) were shown in Figure 1. Additional FFR was examined in 105 lesions with IFR values between 0.86 to 0.93. Figure 2 shows relation between additional FFR and %DS. After hybrid strategy, regular-mismatch was observed in 97 lesions (28.5%), whereas reverse-mismatch was seen in 51 lesions (15.0%). Lesion characteristics causing "visual-functional mismatch" are shown Table1.
Conclusion: Frequency of mismatch in hybrid strategy tended to be higher compared to previous studies between FFR and % DS. LAD and non-LAD with intermediate coronary artery stenosis had differing features between angiographic characteristics and hybrid IFR-FFR evaluation.