Статья
ФРАКЦИОННЫЙ РЕЗЕРВ КАК СПОСОБ ОПРЕДЕЛЕНИЯ ЗНАЧИМОСТИ ТАНДЕМНЫХ И БИФУРКАЦИОННЫХ СТЕНОЗОВ, ПОРАЖЕНИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ J. MALLIDI, MD, MHS; A. LOTFI, MD, FSCAI (Перевод выполнили Н. А. Кочергин , А. М. Кочергина)
Пациенты с тандемными и бифуркационными стенозами, поражением ствола левой коронарной артерии и острым коронарным синдромом не включаются в клинические исследования, изучающие фракционный резерв кровотока. Измерение фракционного резерва кровотока, а также интерпретация его результатов представляют особые затруднения, так как в каждом случае имеются особенности коронарной гемодинамики. Согласно имеющимся данным, определение фракционного резерва кровотока при проведении реваскуляризации миокарда является безопасным и эффективным методом, однако доказательная база недостаточна, что обусловливает потребность в дальнейших исследованиях.
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