The coronary flow velocity reserve measured by stress transoesophageal echocardiography evaluates the success of coronary interventions - Results of a 5-year follow-up

Attila Nemes, Tamás Forster, Imre Ungi, Viktória Nagy, Andrea Vass, Attila Pálinkás, Albert Varga, Miklós Csanády

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Abstract

Objectives. The aim of the present study was to examine the long-term prognostic value of coronary flow velocity reserve (CFR) evaluated by means of stress transoesophageal echocardiography (STEE) in patients who have undergone percutaneous coronary intervention (PCI). Design. The st udy comprised 31 patients with significant LAD stenosis who underwent LAD-PCI. In consequence of their clinical signs, 11 subjects required rePCI or coronary artery bypass graft (CABG) operation within six months. The clinical status of the remaining 20 cases improved during the follow-up. STEE examinations were performed before LAD-PCI and after it. Results. The CFR of patients in a stable clinical condition improved during the follow-up, while the CFR of those who required rePCI or CABG remained unchanged. From this patient population, two subjects died during the 5-year follow-up. Conclusions. Most of the patients who displayed an improved CFR after PCI suffered no major clinical events during the 5-year follow-up; in contrast, in those who a priori had a low CFR and did not show any improvement after PCI, major events did occur during this period.

Original languageEnglish
Pages (from-to)286-292
Number of pages7
JournalScandinavian Cardiovascular Journal
Volume39
Issue number5
DOIs
Publication statusPublished - Oct 1 2005

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Keywords

  • Coronary flow reserve
  • Percutaneous coronary intervention
  • Transoesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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