Anatomic Versus Physiologic Assessment of Coronary Artery Disease: Role of coronary flow reserve, fractional flow reserve, and positron emission tomography imaging in revascularization decision-making
: Gould KL, Johnson NP, Bateman TM, Beanlands RS, Bengel FM, Bober R, Camici PG, Cerqueira MD, Chow BJW, Di Carli MF, Dorbala S, Gewirtz H, Gropler RJ, Kaufmann PA, Knaapen P, Knuuti J, Merhige ME, Rentrop KP, Ruddy TD, Schelbert HR, Schindler TH, Schwaiger M, Sdringola S, Vitarello J, Williams KA, Gordon D, Dilsizian V, Narula J
Publisher: ELSEVIER SCIENCE INC
: 2013
: Journal of the American College of Cardiology
: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
: J AM COLL CARDIOL
: 18
: 62
: 18
: 1639
: 1653
: 15
: 0735-1097
DOI: https://doi.org/10.1016/j.jacc.2013.07.076
Angiographic severity of coronary artery stenosis has historically been the primary guide to revascularization or medical management of coronary artery disease. However, physiologic severity defined by coronary pressure and/ or flow has resurged into clinical prominence as a potential, fundamental change from anatomically to physiologically guided management. This review addresses clinical coronary physiology-pressure and flowd-as clinical tools for treating patients. We clarify the basic concepts that hold true for whatever technology measures coronary physiology directly and reliably, here focusing on positron emission tomography and its interplay with intracoronary measurements.
