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Morton Kern, MD University of California, Irvine Medical Center Orange, CA
In deze video leggen we u uit wat u kunt verwachten bij een FFR meting en/of dotterbehandeling met dagopname.
Simple concepts to clarify FFR. When to do and what does it signifies in coronary circulation.
In deze video leggen we u uit wat u kunt verwachten bij een FFR meting en/of dotterbehandeling tijdens uw opname bij VieCuri Medisch Centrum.
As an adjunct to PCI, the physiological significance of an intermediate coronary lesion is assessed by a pressure wire to generate an FFR (Fractional Flow Reserve) or iFR. This video will teach you to identify key components of a pressure wire system and the meaning of the numbers that are generated by it. Perform your own percutaneous coronary interventions (PCI) with our Percutaneous Coronary Intervention Essentials course. You’ll cover essential PCI equipment, lesion assessment, troubleshooting, and patient monitoring so you can perform your own procedures under the supervision of an experienced cardiologist. This course will debunk common myths surrounding PCI patient selection so you can offer it to more patients who need it. Get your FREE trial account and start chapter 1 NOW! Course: 🤍 Free Account: 🤍medmastery.com/user/register
Coronary physiology is performed in order to: (a) assess the hemodynamic significance of native coronary lesion and determine the need for PCI; and (b) to assess whether an optimal result was achieved after PCI. Both hyperemic (usually adenosine FFR) and non-hyperemic indices (such as iFR, dPR, RFR) can be used, with non-hyperemic indices used more commonly as they are easier to perform. Coronary physiologic assessment is performed in 8 steps, as follows: 1. Flush + zero pressure wire 2. Insert pressure to tip of guide 3. Remove introducer, flush guide with NS, equalize pressures 4. Advance pressure wire distal to the target lesion 5. Measure resting physiologic index 6. Measure hyperemic FFR (if needed) 7. Pullback 8. Check for drift
Watch this PCR Webinar if you want to understand the usefulness of post-PCI invasive assessment, to understand what “invasive physiology” means after PCI and to discuss about target post-PCI FFR values. This is the fourth module in a series of 6 webinars on coronary physiology : 🤍
As the first in Georgia to offer non-invasive coronary artery disease detection through CT-FFR analysis, Piedmont has performed more than 150 cases so far. Dr. Venkat Polsani and Dr. Vibhav Rangarajan, advanced CV imagers at Piedmont Heart, discuss CT-FFR and its promising role in CV imaging and diagnostic testing. 🤍
Bate-Papo com o InCor traz o Prof. Dr. Luís Henrique Gowdak, pesquisador do Laboratório de Genética e Cardiologia Molecular do Instituto, para conversar sobre papel do FFR no tratamento da doença coronariana e como essa técnica implica na prática clínica, tendo em vista estudo FAME 2 que, no início deste ano, publicou os resultados de seus 5 anos de seguimento, no New England Journal of Medicine. Veja mais em: 🤍
Aortic dissection is a dreaded nightmare complication of PCI. We discuss a case of an attempted FFR procedure that lead to a coronary dissection that extended to a severe aortic dissection. We discuss management of aorto-coronary dissections including the use of covered stents. Massive Coronary Perforation, Coils, and Pericardiogram - 🤍 Coiling: Coronary Coils for Coronary Perforation - 🤍 Dual Coronary Perforations: Graftmaster + Coils - 🤍 Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Chairperson: N.H. Pijls Learning Objectives: - To understand latest techniques in FFR - To choose appropriate hyperaemic agent for use in FFR - To learn about use of regadenoson (Rapiscan) as a hyperaemic agent This webcast is supported by GE Healthcare and was filmed at #EuroPCR 2019. View more videos and webcasts here: 🤍
FFR (Fractional Flow Reserve) ประเมินขั้นแรก...เพื่อลดการทำบอลลูนโดยไม่จำเป็น แต่หากต้องทำบอลลูนขยายหลอดเลือด ก็ลดความเสี่ยงได้ด้วย...เทคนิค OCT #โรคหัวใจเราเฉพาะทาง ศูนย์หัวใจ รพ.พญาไท 2
CARDIOLOGY TRACK SESSION 1 • Coronary Artery Disease "IVUS and FFR" Speaker: Syed Gilani, MD CARDIOVASCULAR FELLOWS’ BOOT CAMP "Laying the Foundation" AUGUST 10 - 12, 2018 Hosted by the DeBakey Institute for Cardiovascular Education & Training
Discussion on fractional flow reserve or FFR for guiding coronary percutaneous intervention and functional SYNTAX score. Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. It is often difficult to decide which are the flow limiting lesions when there are multiple stenoses in same or different territories. It is here that the fractional flow reserve estimation helps. FFR is estimated using a guide wire with a pressure transducer. FFR wires have properties similar to the floppy guide wires so that they can passed across coronary lesions back and forth easily to assess the pressure drop across the lesions.
Fractional flow reserve (FFR) wires are notoriously difficult to maneuver. We discuss a quick and simple technique to pass FFR wires across difficult lesions with a workhorse already in place using aspiration thrombectomy catheters. The same technique can be used to pass buddy wires in tough vessels. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Cardiovascular Fellows' Bootcamp 2016 ISCHEMIC HEART DISEASE SESSION "IVUS and FFR" Colin M. Barker, MD Saturday, August 20, 2016 DICET🤍Houstonmethodist.org
LIVESTREAM RECORDING May 14, 2020 HMDHVC GRAND ROUNDS CONFERENCE Houston Methodist DeBakey Heart & Vascular Center, Grand Rounds Conference featuring Advanced Fellows, Faheem Beg, MD and Jiken Bhatt, MD as they present: "CT-FFR: Is it Ready for Primetime?" Faheem Beg, MD Cardiovascular Disease Fellow Houston Methodist DeBakey Heart and Vascular Center "Heart of a Texan - Cardiovascular Assessment of the Competitive Athlete" Jiken Bhatt, MD Cardiovascular Disease Fellow Houston Methodist DeBakey Heart and Vascular Center INTRODUCTION: Stephen H. Little, MD John S. Dunn Chair in Clinical Cardiovascular Research and Education, DeBakey Heart & Vascular Center Associate Professor of Clinical Cardiology, Academic Institute Assistant Member, Research Institute Program Director, Cardiovascular Disease Fellowship, Department of Cardiology Houston Methodist _ Presented by Houston Methodist DeBakey Heart & Vascular Center. A DeBakey CV Education event Building on Dr. Michael E. DeBakey’s commitment to excellence in education, Houston Methodist DeBakey CV Education is an epicenter for cardiovascular academic and clinical educational programs that support the provision of optimal care to patients suffering from cardiovascular conditions and diseases. FOR MORE INFORMATION DeBakey CV Education: 🤍 Follow Us: Facebook: 🤍 Twitter: 🤍 Livestream: 🤍 Want concise, relevant reviews of the hottest topics in CV medicine? Subscribe for FREE to the Methodist DeBakey Cardiovascular Journal for quarterly, peer-reviewed issues delivered to your door. 🤍
In this recorded webinar, Michael Maslin, Ph.D., provides an overview of the frequency following response (FFR). This webinar is split into two parts (this is part 1): Part 1 primarily deals with the principles underlying the FFR and the putative physiological mechanisms. Part 2 goes into the measurement, analysis and interpretation of the FFR as well as clinical and research applications. Timestamps: 0:00 Introduction 2:08 ABR patient journey 4:32 Transient and sustained responses 13:32 Tone burst ECochG 19:26 Phase locking 22:26 Sustained potentials and phase locking 29:24 Envelope and fine structure Part 2: 🤍 #FrequencyFollowingResponse #FFR Interacoustics is a world-leading diagnostic solutions provider in the field of hearing and balance assessment. We design, manufacture, and sell products across the whole audiological spectrum, from small portable devices to full clinical instruments. Our products are sold in more than 100 countries through our extensive network of sales companies and distributors. To learn more, visit our website at 🤍 or contact your local distributor.
Watch this session presented by Joost Daemen and Ziad Ali in order to know more about physiological assessment in the cathlab and angio-based vFFR, the results of the multicentre vFFR clinical trial, and the future of angio-based FFR in the cathlab. Sponsored by Pie Medical Imaging This video was recorded for #EuroPCR 2021. View more videos and course resources here: 🤍
Learn how a leading interventional cardiologist, Jeffrey Chambers, MD successfully uses Boston Scientific’s new FFR COMET Pressure Guidewire to identify moderate lesions in a distal right coronary. IC-366006-AA
Du hast einen Herzinfarkt erlitten oder die Diagnose einer Koronaren Herzkrankheit bekommen und möchtest ein individuelles 1:1-Herz-Coaching mit Dr. Heart? Bewirb Dich auf ein kostenloses Erstberatungsgespräch unter 🤍 Ein Stent im akuten Herzinfarkt eingesetzt kann Leben oder zumindest Lebensqualität retten, indem er die Durchblutung wieder sichert und den Herzmuskel am Leben erhält. Doch wie sieht die Situation ausserhalb eines Herzinfarktes aus? Wer profitiert hier wirklich vom Stent? Alle Dr. Heart Videos finden Sie auf: 🤍 Dr. Heart Facebookseite: 🤍 Danke fürs zuschauen! Auf dem Dr. Heart-Kanal werden jede Woche neue Videos zum Thema Herz gepostet! Also, jetzt kostenlos abonnieren, um nichts mehr zu verpassen! Ihr Herz sagt danke!
Watch this video if you want: - To learn to identify hemodynamic relevance of intermediate coronary lesions with highest diagnostic accuracy to allow individualized therapy - To learn about the new technology of coronary angiography derived FFR & its clinical potential - To learn what is mandatory to get reliable CT FFR results Speakers: Allen Jeremias, Ziad Ali, Michael J. Gallagher Sponsored by Siemens Healthineers This video was recorded for #PCReCourse 2020. View more videos and interviews here: 🤍
Philip McCarthy, United Kingdom, discusses the state of coronary physiology today with Philippe L’Allier, Canada. The results of the landmark studies DEFER, FAME and FAME II have all shown that using adjunctive physiology not only improves the outcome of intervention but also decreases stent usage, stops unnecessary stent deployment and increases contrast usage which makes us end up with a more refined technique. However, despite the advantages to the interventionalist day-to-day, the process has been slow – McCarthy explains why, how this can change, and also discusses the future of the field. Read more about FFR here: 🤍
Entrevista a los Dres. Nieves Gonzalo y Alex Castro-Mejía, del Hospital Clínico San Carlos de Madrid, sobre su artículo “Diabetes mellitus y seguridad a largo plazo del diferimiento de la revascularización coronaria basado en FFR e iFR”, publicado en el número de abril-junio de 2022 de REC: Interventional Cardiology. DOI: 🤍
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42-year old male with CCS Class II angina and coronary CTA revealing 3 V soft coronary plaques. A Cardiac Cath on February 25, 2022 revealed 3 V CAD: 90% RCA-AV Continuation, 90% LAD-D1, multiple 80% mid LAD, 95% LCx-OM2 bifurcation with normal LV function and SYNTAX Score of 22. Patient underwent successful interventions of RCA-AV Continuation and LCx-OM2 using two Promus Elite DES. Patient is now planned for staged PCI of FFR guided intervention of multiple LAD/Diagonal lesions.
Yaya MOMM - F.F.R (clip officiel) EP - M.O.M.M Disponible : 🤍 Réalisateur : PixelMaker (HardworkStudio) / 🤍hippymvne Production : HardworkStudio / 🤍hardworkstudio18 Prise de vue : Coralien.B x PixelMaker Records : icons studio Follow : Instagram : 🤍mommyaya Facebook : 🤍 Soundcloud : 🤍
Shahid Akhter, editor, ETHealthworld spoke to Dr Nils P Johnson, Associate Professor of Cardiology, University of Texas, Houston, USA to know more about Fractional Flow Reserve (FFR) and how it impacts the decision making process in Intervention cardiology.
In diesem Lehrvideo für Studierende des Studiengangs Medizin zeigt Oberarzt Dr. Sebastian Zimmer vom Herzzentrum des Universitätsklinikums Bonn eine typische Herzkatheteruntersuchung im Herzkatheterlabor mit Koronarangiographie, Messung der fraktionellen Flussreserve (FFR) und anschließender Stent-Implantation
The Insight Lifetech TruePhysio® & VivoCardio® FFR/cRR Measurement System optimizes patient treatment, saves time, material and reduces procedural cost. This video gives the basic instruction to the operation process and clinical application of this system.