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Coronary Pressure

  • Book
  • © 1997

Overview

Authors:
  1. Nico H. J. Pijls

    1. Catharina Hospital, Eindhoven, The Netherlands

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    You can also search for this author in PubMed   Google Scholar

  2. Bernard Bruyne

    1. Cardiovascular Center, Aalst, Belgium

    View author publications

    You can also search for this author in PubMed   Google Scholar

Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 195)

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Table of contents (16 chapters)

  1. Front Matter

    Pages i-xvii
    Download chapter PDF

  2. Introduction

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 1-4

  3. The Coronary Circulation

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 5-24

  4. Introduction to Invasive Assessment of the Coronary Circulation

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 25-47

  5. Fractional Flow Reserve

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 49-79

  6. Practical Set-up of Coronary Pressure Measurement

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 81-120

  7. Validation of Fractional Flow Reserve in Animals

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 121-141

  8. Validation of Fractional Flow Reserve in Humans

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 143-156

  9. Independence of Fractional Flow Reserve of Hemodynamic Loading Conditions

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 157-178

  10. Fractional Flow Reserve in Normal Coronary Arteries

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 179-187

  11. Fractional Flow Reserve to Distinguish Significant Stenosis

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 189-220

  12. Comparison of Fractional Flow Reserve to Non-Invasive Tests to Detect Reversible Ischemia

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 221-235

  13. Assessment of Collateral Blood Flow by Coronary Pressure Measurement

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 237-259

  14. Fractional Flow Reserve for Evaluation of Coronary Interventions

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 261-271

  15. Myocardial Fractional Flow Reserve and Clinical Outcome

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 273-285

  16. Clinical Cases

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 287-331

  17. Conclusions and Perspectives for the Future

    • Nico H. J. Pijls, Bernard De Bruyne
    Pages 333-339

  18. Back Matter

    Pages 341-344
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Keywords

About this book

Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement.

Reviews

`It has been the enormous contribution of Drs. Pijls and De Bruyne and their colleagues that they have been able to develop such an approach, that has been further improved, extensively validated and applied in routine practice. ... This book has been written such that both the practical cardiologist who wants to know how to perform the procedure according to the rules, as well as the scientist who wants to know everything about the underlying principles and the results of the validation studies, will find it very useful. In conclusion, this book is a must for the practicing interventionalist as well as the scientist who is interested in coronary and myocardial physiology. The two authors are to be congratulated on writing such a nice and innovative piece of work.'
International Journal of Cardiac Imaging, 14 (1998)

Authors and Affiliations

  • Catharina Hospital, Eindhoven, The Netherlands

    Nico H. J. Pijls

  • Cardiovascular Center, Aalst, Belgium

    Bernard Bruyne

Bibliographic Information

  • Book Title: Coronary Pressure

  • Authors: Nico H. J. Pijls, Bernard Bruyne

  • Series Title: Developments in Cardiovascular Medicine

  • DOI: https://doi.org/10.1007/978-94-015-8834-8

  • Publisher: Springer Dordrecht

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer Science+Business Media Dordrecht 1997

  • eBook ISBN: 978-94-015-8834-8Published: 29 June 2013

  • Series ISSN: 0166-9842

  • Edition Number: 1

  • Number of Pages: XVII, 344

  • Number of Illustrations: 150 b/w illustrations

  • Topics: Cardiology

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