The Future of Coronary Imaging and Physiology-Optimal Wire-Based Physiology in 2022: Pullback, Post-PCI Measurements, and Integrating Resting/Hyperemic Indices

Optimal Wire-Based Physiology in 2022: Pullback, Post-PCI Measurements, and Integrating Resting/Hyperemic Indices

Video Transcription

Video Summary

In this video, the speaker discusses physiology-guided PCR and its benefits in reducing unnecessary stents and improving outcomes. They mention the various options available in the cat lab menu for coronary physiology, including FFR, IFR, RFR, DFR, and DPR. They discuss different devices such as guide Y-based devices, isoresistive devices, and the optical device. The speaker also touches on microcapital-based techniques using the ASSIST-RXI catheter. They explain the process of assessing tandem lesions or diffuse disease using pullbacks and measuring FFR or NHPR. The importance of integrating resting and hyperemic indices is emphasized, and the speaker shares their approach to achieving this. Overall, physiology-guided PCR is advocated as a helpful approach for patients. Credits are given to Dr. Kern for the concept of optimal Y-based physiology.

Asset Subtitle

Gautam Kumar, MD

Keywords

physiology-guided PCR

coronary physiology

FFR

stents

cat lab menu