Revascularization Guidelines Series-Coronary Physiology Guiding Decisions in PCI

Video Transcription

Video Summary

Dr. Creighton Dong from the University of Washington discusses the 2021 guidelines for using coronary physiology to guide decisions in percutaneous coronary intervention (PCI). The guidelines recommend the use of fractional flow reserve (FFR) or instantaneous wave-free ratio (IFR) to guide the decision for PCI in patients with angina, undocumented ischemia, and angiographically intermediate stenosis. However, the guidelines also state that for stable patients with angiographically intermediate stenosis and FFR>0.8 or IFR>0.89, PCI should not be performed. The video emphasizes the importance of understanding the limitations of angiography and the role of physiological evaluation in determining the severity of coronary artery disease for appropriate treatment decisions. (No credits were mentioned in the transcript.)

Asset Subtitle

Creighton W. Don, MD, PhD

Keywords

coronary physiology

percutaneous coronary intervention

fractional flow reserve

instantaneous wave-free ratio

angiographically intermediate stenosis