The intermediate coronary lesion pedro a lemos, and patrick w serruys

Pedro A. Lemos; Patrick W. Serruys

doi:10.3109/9780203089811-18

The intermediate coronary lesion pedro a lemos, and patrick w serruys

Research output: Chapter in Book or Conference Publication/Proceeding › Chapter › peer-review

Abstract

Coronary angiography is currently the gold standard for the diagnosis of atherosclerotic heart disease. Nevertheless, it is well known that conventional angiography has several important limitations. Although angiography is a reliable tool to evaluate the luminal dimensions of a coronary segment, its ability to estimate the flow-limiting significance of lesions classified as ‘intermediate’ (commonly defined as a diameter stenosis between 40% and 70%) is suboptimum. Angiographic analysis of intermediate lesions is well known to have a poor correlation with the induction of myocardial ischemia or with patients’ complaints. Unfortunately, intermediate or ambiguous lesions are frequently found in the daily practice of any catheterization laboratory, and often pose a diagnostic dilemma. In this chapter we discuss the advantages and disadvantages of invasive and non-invasive strategies currently available for the evaluation of intermediate lesions.

Original language	English
Title of host publication	Common Clinical Dilemmas in Percutaneous Coronary Interventions
Publisher	CRC Press
Pages	185-196
Number of pages	12
ISBN (Electronic)	9780203089811
ISBN (Print)	9781841846095
DOIs	https://doi.org/10.3109/9780203089811-18
Publication status	Published - 1 Jan 2007
Externally published	Yes

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abstract = "Coronary angiography is currently the gold standard for the diagnosis of atherosclerotic heart disease. Nevertheless, it is well known that conventional angiography has several important limitations. Although angiography is a reliable tool to evaluate the luminal dimensions of a coronary segment, its ability to estimate the flow-limiting significance of lesions classified as {\textquoteleft}intermediate{\textquoteright} (commonly defined as a diameter stenosis between 40\% and 70\%) is suboptimum. Angiographic analysis of intermediate lesions is well known to have a poor correlation with the induction of myocardial ischemia or with patients{\textquoteright} complaints. Unfortunately, intermediate or ambiguous lesions are frequently found in the daily practice of any catheterization laboratory, and often pose a diagnostic dilemma. In this chapter we discuss the advantages and disadvantages of invasive and non-invasive strategies currently available for the evaluation of intermediate lesions.",

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N2 - Coronary angiography is currently the gold standard for the diagnosis of atherosclerotic heart disease. Nevertheless, it is well known that conventional angiography has several important limitations. Although angiography is a reliable tool to evaluate the luminal dimensions of a coronary segment, its ability to estimate the flow-limiting significance of lesions classified as ‘intermediate’ (commonly defined as a diameter stenosis between 40% and 70%) is suboptimum. Angiographic analysis of intermediate lesions is well known to have a poor correlation with the induction of myocardial ischemia or with patients’ complaints. Unfortunately, intermediate or ambiguous lesions are frequently found in the daily practice of any catheterization laboratory, and often pose a diagnostic dilemma. In this chapter we discuss the advantages and disadvantages of invasive and non-invasive strategies currently available for the evaluation of intermediate lesions.

AB - Coronary angiography is currently the gold standard for the diagnosis of atherosclerotic heart disease. Nevertheless, it is well known that conventional angiography has several important limitations. Although angiography is a reliable tool to evaluate the luminal dimensions of a coronary segment, its ability to estimate the flow-limiting significance of lesions classified as ‘intermediate’ (commonly defined as a diameter stenosis between 40% and 70%) is suboptimum. Angiographic analysis of intermediate lesions is well known to have a poor correlation with the induction of myocardial ischemia or with patients’ complaints. Unfortunately, intermediate or ambiguous lesions are frequently found in the daily practice of any catheterization laboratory, and often pose a diagnostic dilemma. In this chapter we discuss the advantages and disadvantages of invasive and non-invasive strategies currently available for the evaluation of intermediate lesions.

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BT - Common Clinical Dilemmas in Percutaneous Coronary Interventions

PB - CRC Press

ER -

The intermediate coronary lesion pedro a lemos, and patrick w serruys

Abstract

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