Coronary Pressure

1. Front Matter

   Pages i-xix

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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 25-49

5. Fractional Flow Reserve

   • Nico H. J. Pijls, Bernard De Bruyne

   Pages 51-82

6. Practical Set-Up of Coronary Pressure Measurement

   • Nico H. J. Pijls, Bernard De Bruyne

   Pages 83-114

7. Pitfalls in Coronary Pressure Measurement

   • Nico H. J. Pijls, Bernard De Bruyne

   Pages 115-130

8. Validation of Fractional Flow Reserve in Animals

   • Nico H. J. Pijls, Bernard De Bruyne

   Pages 131-152

9. Validation of Fractional Flow Reserve in Humans

   • Nico H. J. Pijls, Bernard De Bruyne

   Pages 153-166

10. Independence of Fractional Flow Reserve of Hemodynamic Loading Conditions

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 167-189

11. Fractional Flow Reserve in Normal Coronary Arteries

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 191-201

12. Fractional Flow Reserve to Distinguish Significant Stenosis: Use at Diagnostic Catherization

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 203-229

13. Fractional Flow Reserve to Assess Intermediate Stenosis

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 231-245

14. FFR in Some Specific Conditions

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 247-270

15. Fractional Flow Reserve for Evaluation of Coronary Interventions

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 271-306

16. Fractional Flow Reserve and Clinical Outcome

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 307-326

17. Assessment of Collateral Blood Flow by Coronary Pressure Measurement

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 327-351

18. Clinical Cases

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 353-410

19. Conclusions and Perspectives for the Future

    • Nico H. J. Pijls, Bernard De Bruyne

    Pages 411-417

20. Back Matter

    Pages 419-423

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A little bit more than two years after the first edition, we are pleased to publish the second edition of this book. More than half of the chapters have been remodeled and completed as the result of technical improvements and recently acquired clinical data. During these two years, the number of coronary pressure measurements performed worldwide both during diagnostic and interventional procedures has increased almost exponentially. Most of the initial problems associated with this new approach have been overcome. Many colleagues have explored new research avenues and in many catheterization laboratories the method has matured from a research toy to a clinical tool. Classical indications such as the intermediate stenosis and guidance of PTCA or stent implantation, have been largely extended and coronary pressure measurement has proven to be useful in multi vessel disease, diffuse disease, long and serial stenosis, after myocardial infarction, and in many other diagnostic and interventional situations encountered in the catheterization laboratory. Quite unexpectedly, this approach has also enforced the ties with our surgical colleagues in the selection of patients suitable for minimal invasive surgery or hybride revascularization. Also in mild and intermediate left main disease, there is a role for coronary pressure measurement in the process of decision making. We would like to express our gratitude to all those many colleagues who trusted and applied this new approach for the benefit of their patients. Aalst, Eindhoven, Bernard De Bruyne. Nico H. J. Pijls. March, 2000. Table of Contents (overview) 1 1.

• arteries
• artery
• assessment
• blood
• circulation
• evaluation
• intervention
• outcome

• Catharina Hospital, Eindhoven, The Netherlands

  Nico H. J. Pijls

• Cardiovascular Center, Aalst, Belgium

  Bernard Bruyne

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