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KMID : 0368120210510030189
Korean Circulation Journal
2021 Volume.51 No. 3 p.189 ~ p.201
Physiologic Assessment after Coronary Stent Implantation
Hwang Do-Yeon

Yang Seok-Hun
Zhang Jinlong
Koo Bon-Kwon
Abstract
The presence of myocardial ischemia is a prerequisite for the benefit of coronary revascularization. In the cardiac catheterization laboratory, fractional flow reserve and non-hyperemic pressure ratios are used to define the ischemia-causing coronary stenosis, and several randomized studies showed the benefit of physiology-guided coronary revascularization. However, physiology-guided revascularization does not necessarily guarantee the relief of ischemia. Recent studies reported that residual ischemia might exist in up to 15?20% of cases after angiographically successful percutaneous coronary intervention (PCI). Therefore, post-PCI physiologic assessment is necessary for judging the appropriateness of PCI, detecting the lesions that may benefit from additional PCI, and risk stratification after PCI. This review will focus on the current evidence for post-PCI physiologic assessment, how to interpret these findings, and the future perspectives of physiologic assessment after PCI.
KEYWORD
Percutaneous coronary intervention, Fractional flow reserve, Non-hyperemic pressure ratio, Outcomes
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