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001-es BibID:BIBFORM097169
035-os BibID:(WoS)001083297700001 (Scopus)85170582604
Első szerző:Csippa Benjamin
Cím:Simplified coronary flow reserve calculations based on three-dimensional coronary reconstruction and intracoronary pressure data / Csippa Benjamin, Üveges Áron, Gyürki Dániel, Jenei Csaba, Tar Balázs, Bugarin-Horváth Balázs, Szabó Gábor Tamás, Komócsi András, Paál György, Kőszegi Zsolt
Dátum:2023
ISSN:1897-5593
Megjegyzések:Background: Measurements of fractional flow reserve (FFR) and/or coronary flow reserve (CFR) are widely used for hemodynamic characterization of coronary lesions. The frequent combination of the epicardial and microvascular disease may indicate a need for complex hemodynamic evaluation of coronary lesions. This study aims at validating the calculation of CFR based on a simple hemodynamic model to detailed computational fluid dynamics (CFD) analysis. Methods: Three-dimensional (3D) morphological data and pressure values from FFR measurements were used to calculate the target vessel. Nine patients with one intermediate stenosis each, measured by pressure wire, were included in this study. Results: A correlation was found between the determined CFR from simple equations and from a steady flow simulation (r = 0.984, p < 10-5). There was a significant correlation between the CFR values calculated by transient and steady flow simulations (r = 0.94, p < 10(-3)). Conclusions: Feasibility was demonstrated of a simple hemodynamic calculation of CFR based on 3D-angiography and intracoronary pressure measurements. A simultaneous determination of both the FFR and CFR values provides the capability to diagnose microvascular dysfunction: the CFR/FFR ratio characterizes the microvascular reserve.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Cardiology Journal. - 30 : 4 (2023), p. 516-525. -
További szerzők:Üveges Áron Gyürki Dániel Jenei Csaba (1976-) (kardiológus) Tar Balázs (1970-) (orvos) Bugarin-Horváth Balázs Szabó Gábor Tamás (1982-) (kardiológus) Komócsi András Paál György Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Pályázati támogatás:ÚNKP-20-03
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BME NC TKP2020
NKFIH
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Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM105981
035-os BibID:(cikkazonosító)2035
Első szerző:Jenei Csaba (kardiológus)
Cím:Novel Method to Detect Pitfalls of Intracoronary Pressure Measurements by Pressure Waveform Analysis / Jenei Csaba, Tar Balázs, Ágoston András, Sánta Péter, Sánta János, Csippa Benjámin, Wéber Richárd, Gyürki Dániel, Halász Gábor, Szabó Gábor Tamás, Czuriga Dániel, Kőszegi Zsolt
Dátum:2022
ISSN:2075-4426
Megjegyzések:Potential pitfalls of fractional flow reserve (FFR) measurements are well-known drawbacks of invasive physiology measurement, e.g., significant drift of the distal pressure trace may lead to the misclassification of stenoses. Thus, a simultaneous waveform analysis of the pressure traces may be of help in the quality control of these measurements by online detection of such artefacts as the drift or the wedging of the catheter. In the current study, we analysed the intracoronary pressure waveform with a dedicated program. In 130 patients, 232 FFR measurements were performed and derivative pressure curves were calculated. Local amplitude around the dicrotic notch was calculated from the distal intracoronary pressure traces (?dPn/dt). A unidimensional arterial network model of blood flow was employed to simulate the intracoronary pressure traces at different flow rates. There was a strong correlation between ?dPn/dt values measured during hyperaemia and FFR (r = 0.88). Diagnostic performance of distal ?dPn/dt ? 3.52 for the prediction of FFR ? 0.80 was 91%. The correlation between the pressure gradient and the corresponding ?dPn/dt values obtained from all measurements independently of the physiological phase was also significant (r = 0.80). During simulation, the effect of flow rate on ?dPn/dt further supported the close correlation between the pressure ratios and ?dPn/dt. Discordance between the FFR and the ?dPn/dt can be used as an indicator of possible technical problems of FFR measurements. Hence, an online calculation of the ?dPn/dt may be helpful in avoiding some pitfalls of FFR evaluation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Personalized Medicine. - 12 : 12 (2022), p. 1-9. -
További szerzők:Tar Balázs (1970-) (orvos) Ágoston András Sánta Péter Sánta János (orvos) Csippa Benjamin Wéber Richárd Gyürki Dániel Halász Gábor J. (1961-) (fizikus) Szabó Gábor Tamás (1982-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
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